Individual provider Active NPI

Gina Neri, PTA

  • Physical Therapy Assistant
  • Stephenville, TX
National Provider Identifier
1760855977
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306603394 Issued in VA
Practice address
1670 West Lingley Rd
Stephenville, TX 76401
Phone
(125) 496-8215
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306603394 VA Primary
Physical Therapy Assistant 225200000X 2115647 TX

Addresses

Primary practice location

1670 West Lingley Rd
Stephenville, TX 76401

Mailing address

5595 Courtneys Corner Rd
Sumerduck, VA 22742-1806
Phone (540) 272-0993

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2115647TXMDPhysical Therapy Assistant
2306603394VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1760855977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 COURTNEYS CORNER RD",
            "city": "SUMERDUCK",
            "state": "VA",
            "postal_code": "227421806",
            "telephone_number": "540-272-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 WEST LINGLEY RD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "125-496-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "GINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603394",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.