Genene Lara

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304074 Issued in CA

Practice address

271 Five Cities Dr
Pismo Beach, CA 93449-3009

Phone

(805) 473-7499

NPI assigned

May 11, 2023

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Specialists PTS IncGroup PAC ID 0143357517, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Physical Therapy Specialists PTS, Inc.

  • Physical Therapist
  • Pismo Beach, CA
  • NPI 1760793236
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1417647561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2638",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934482638",
            "telephone_number": "805-473-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FIVE CITIES DR",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493009",
            "telephone_number": "805-473-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "GENENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth a Peterson
• Kidney Dialysis Center of Pismo Beach, LLC
• Lisa Marie Kruitbosch
• Michael Thomas Laird, M.D.
• Matthew Eren Lanson, MD
• Giancarlo Lauriente, DDS
• Lawrence H. Newman, M.D., a Medical Corp (Doctors Med Plus Medical Center, Inc.)
• Nicholas Lazzaro
• Ngoc Le
• Janet M Leach, L.AC.

• Physical Therapist in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.