Active NPI
Gina Neri, PTA
- Physical Therapy Assistant
- Stephenville, TX
National Provider Identifier
1760855977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306603394
- Practice address
- 1670 West Lingley Rd
Stephenville, TX 76401 - Phone
- (125) 496-8215
- NPI assigned
- Nov 10, 2015
- Last updated
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2115647 | TX | MD | Physical Therapy Assistant |
| 2306603394 | VA | MD | Physical 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.