Genevieve Tibbs

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006683 Issued in KY

Practice address

1018 Garden Creek Cir
Louisville, KY 40223-5589

Phone

(502) 541-8964

NPI assigned

Nov 21, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1720681620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073215",
            "telephone_number": "502-893-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 GARDEN CREEK CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235589",
            "telephone_number": "502-541-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "GENEVIEVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://exceptionallivingcenters.com/exceptional-rehab/",
            "affiliation": "N",
            "address_1": "227 Browns Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402073215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Lee Thurman Sr., M.D.
• Rhonda L Thurman, LPT
• Thomas R Thurman, D.M.D.
• Charles Thurston-Snoha
• Tia Braxton, Aprn, Pmhnp-BC, PLLC
• Brooke Elizabeth Tice
• Gloria Denise Tichenor, LPN
• Nayanna Jeanise Tichenor, RBT
• Stephanie Tichenor, ARNP
• Heidi Raquel Tiesing, MSSW

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.