Individual provider Active NPI

Alexandra Genis, DPT

  • Pediatric Physical Therapist
  • Livingston, NJ
National Provider Identifier
1649572181
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
40QA01409600 Issued in NJ
Practice address
23 Highland Dr
Livingston, NJ 07039-2808
Phone
(347) 886-7274
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 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 033305 NY
Pediatric Physical Therapist 2251P0200X 40QA01409600 NJ Primary

Addresses

Primary practice location

23 Highland Dr
Livingston, NJ 07039-2808

Mailing address

23 Highland Dr
Livingston, NJ 07039-2808
Phone (347) 886-7274

Other practice location 1

156 Route 15 north
Lafayette, NJ 07848
Phone (973) 862-6377

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
033305NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Stars Physical Therapy, LLC CurrentSince Dec 3, 2023 Accepting new patients
Damon Physical Therapy Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Genis Physical Therapy and Rehabilitation Physical Therapist PastSince Jan 1, 2022 Accepting new patients
Performance Pediatrics Physical Therapist PastSince Feb 1, 2022 Accepting new patients

Locations

156 State Route 15
Lafayette, NJ 07848
Phone (973) 237-1975

395 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 669-3333

Organizations & group practices 4

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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1649572181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HIGHLAND DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392808",
            "telephone_number": "347-886-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HIGHLAND DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392808",
            "telephone_number": "347-886-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Route 15 north",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "NJ",
            "postal_code": "07848",
            "country_code": "US",
            "telephone_number": "973-862-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENIS",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033305",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01409600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.