Genevieve Rose Neely, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291658 Issued in CA

Practice address

12465 Lewis Street
Suite 101
Garden Grove, CA 92840-4658

Phone

(714) 703-8477

Fax

(714) 703-8157

NPI assigned

Nov 3, 2016

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Balance Solution Institute of Physiotherapy IncGroup PAC ID 2062427305, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Complete Balance Solution Institute of Physiotherapy Inc

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1508936626
  Medicare reassignment Care Compare group NPD
• Ascend Physical Therapy, Inc

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1184015943
  Medicare reassignment NPD
• Innovative Management Inc

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
  • NPI 1982722351
  NPD
• PNP Associates

  • Neurology Physical Therapist
  • Irvine, CA
  • NPI 1952669301
  NPD (past)

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1669924973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12465 LEWIS STREET",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404658",
            "telephone_number": "714-703-8477",
            "fax_number": "714-703-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12465 LEWIS STREET",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404658",
            "telephone_number": "714-703-8477",
            "fax_number": "714-703-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "GENEVIEVE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Navarro
• Salvador Navarro
• Victoria Navarro
• Naveen Dhar, M.D., Inc
• Karen Neal, M.A., BCBA
• Negin Behazin MD, a Med Corp
• Harold Nelson, P.T.
• Melanie C Nelson, LCSW
• Robert L Nelson, M.D.
• Russell L. Ness, MD

• Physical Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.