Individual provider Active NPI

Genevieve B Smith, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1508144528
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033928-1 Issued in NY
Practice address
31 E 32ND St FL 4
New York, NY 10016-5595
Phone
(212) 759-2282
Fax
(212) 379-2123
NPI assigned
Jul 25, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033928-1 NY Primary
Orthopedic Physical Therapist 2251X0800X 033928 NY

Addresses

Primary practice location

31 E 32ND St FL 4
New York, NY 10016-5595

Mailing address

31 E 32ND St FL 4
New York, NY 10016-5595
Phone (212) 759-2282

Other practice location 1

609 N Franklin St
Watkins Glen, NY 14891-1302
Phone (607) 535-7475

Other practice location 2

605 Culver Rd
Rochester, NY 14609-7443
Phone (585) 288-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000140 NY Practitioner - Physical Therapist in Private Practice 0143465062 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033928-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intention Internal Medicine, PLLC CurrentSince Jan 7, 2024 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Oct 28, 2021 Accepting new patients

Locations

794 Union St
Ste 3
Brooklyn, NY 11215
Phone (646) 841-1402

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

2465 Broadway
New York, NY 10025
Phone (212) 712-1000

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

609 N Franklin St
Watkins Glen, NY 14891
Phone (607) 210-6111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508144528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165595",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165595",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Watkins Glen",
            "state": "NY",
            "postal_code": "148911302",
            "country_code": "US",
            "telephone_number": "607-535-7475",
            "fax_number": "607-535-7445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146097443",
            "country_code": "US",
            "telephone_number": "585-288-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GENEVIEVE",
        "middle_name": "B",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033928-1",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "033928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.