Individual provider Active NPI

Sheri Rae Genovese, O.T.D.

  • Pediatric Occupational Therapist
  • San Marcos, CA
National Provider Identifier
1396970729
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8656 Issued in CA
Practice address
1615 S Rancho Santa Fe Rd
Suite a
San Marcos, CA 92078-5194
Phone
(619) 838-7460
Fax
(858) 385-1444
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 8656 CA Primary

Addresses

Primary practice location

1615 S Rancho Santa Fe Rd
Suite a
San Marcos, CA 92078-5194

Mailing address

16166 Cayenne Ridge Rd
San Diego, CA 92127-3707
Phone (619) 838-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sheri'S Occupational Therapy Services Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1396970729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16166 CAYENNE RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273707",
            "telephone_number": "619-838-7460",
            "fax_number": "858-385-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S RANCHO SANTA FE RD",
            "address_2": "SUITE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785194",
            "telephone_number": "619-838-7460",
            "fax_number": "858-385-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "SHERI",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "O.T.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "8656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.