Stacy Renae Genereux, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1990 Issued in NE

Practice address

8031 W Center Rd
Suite 300
Omaha, NE 68124-3158

Phone

(402) 391-5002

Fax

(402) 343-1278

NPI assigned

Sep 25, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St Lukes Health Resources

  • Clinic/Center
  • Ponca, NE
  • NPI 1619932373
  NPD (past)
• St Lukes Health Resources

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)
• St. Luke'S Health Resources

  • Physical Therapist
  • North Sioux City, SD
  • NPI 1255375556
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1578713541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243158",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243158",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEREUX",
        "first_name": "STACY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General & Vascular Surgery, P.C.
• Generation Hope Family Counseling & Consulting
• Generational Health, LLC
• Andrea Jean Genereux
• Sarah Dawn Genereux, M,A,
• Genesis Developmental Disability Center LLC
• Genesis Rehab
• Michele C. Gengler, CRNA
• Genoa Healthcare LLC
• Genoa Healthcare LLC

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.