Timothy David Genecco, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12379 Issued in FL

Practice address

56 New Driftway
Scituate, MA 02066-4533

Phone

(781) 544-3434

Fax

(781) 544-3946

NPI assigned

Jun 17, 2005

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genecco Rehab Inc

  • Physical Therapist
  • Jupiter, FL
  • NPI 1235455734
  Authorized official Same address or phone
• Active Health Center, LLC

  • General Practice Physician
  • North Palm Beach, FL
  • NPI 1790283604
  NPD (past)
• Marc a. Weinberg, D.C., P.a.

  • Chiropractor
  • North Palm Beach, FL
  • NPI 1558693697
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1811992514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WIANNO WAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661520",
            "telephone_number": "561-373-6308",
            "fax_number": "866-757-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-544-3434",
            "fax_number": "781-544-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENECCO",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Start Chiropractic, Inc.
• Fresh Start Chiropractic, LLC
• Christopher Jon Freyermuth, D.M.D
• Kevin K Gardner, PT
• Julia Elizabeth Gaughan
• Jessica Gerber, DAC.
• Gordon a Price OD PC
• Kristen Gotter, LICSW
• Janine M Groman
• Nancy Parsons Harris, PH.D.

• Physical Therapist in Scituate, MA
• Providers in Scituate, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.