Active NPI
Genevieve Clissold Rockett, PT
- Physical Therapist
- Fuquay Varina, NC
National Provider Identifier
1770001067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7324
- Practice address
- 100 Fitness Dr
Fuquay Varina, NC 27526-7263 - Phone
- (919) 557-3100
- NPI assigned
- Sep 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7324 | NC | Primary |
Addresses
Primary practice location
100 Fitness Dr
Fuquay Varina, NC 27526-7263
Mailing address
400 Widdington LN
Cary, NC 27519-6699
Phone (919) 387-3532
Other practice location 1
500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 258-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7324 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770001067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WIDDINGTON LN",
"city": "CARY",
"state": "NC",
"postal_code": "275196699",
"telephone_number": "919-387-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FITNESS DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267263",
"telephone_number": "919-557-3100"
}
],
"practiceLocations": [
{
"address_1": "500 Village Walk Dr",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275404440",
"country_code": "US",
"telephone_number": "919-258-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCKETT",
"first_name": "GENEVIEVE",
"middle_name": "CLISSOLD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "7324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.