Lisa George

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0003979 Issued in FL

Practice address

9401 SW Highway 200
Suite 2001
Ocala, FL 34481-9612

Phone

(352) 854-4017

Fax

(352) 854-4389

NPI assigned

Dec 13, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1780745562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 SW HIGHWAY 200",
            "address_2": "SUITE 2001",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344819612",
            "telephone_number": "352-854-4017",
            "fax_number": "352-854-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 SW HIGHWAY 200",
            "address_2": "SUITE 2001",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344819612",
            "telephone_number": "352-854-4017",
            "fax_number": "352-854-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0003979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "593705510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y2539",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Renee Lynn Genther, A.R.N.P.
• Gentle Souls LLC
• Arlette Gentles
• George L. Vazoulas, O.D.,P.a.
• Nathan George, MD
• Geriatric Care Associates LLC
• Geriatric Institute Corp
• Adam Cristopher Geril, PT
• Monica Gervais, PHARMD

• Physical Therapist in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.