Individual provider Active NPI

Nicholas Joseph Gennuso, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1831644970
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2118321 Issued in TX
Practice address
3327 Research PLZ
Suite 404
San Antonio, TX 78235-5155
Phone
(210) 396-5396
Fax
(210) 396-5333
NPI assigned
Aug 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2118321 TX Primary

Addresses

Primary practice location

3327 Research PLZ
Suite 404
San Antonio, TX 78235-5155

Mailing address

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6905
Phone (210) 804-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.j.gennuso@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313000902 PA Practitioner - Physical Therapist in Private Practice 5193005619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

2571 Mosside Blvd
Monroeville, PA 15146-3576
Phone 41285680601

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2118321TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Sports Medicine Center LP Physical Therapist CurrentSince Mar 5, 2025 Accepting new patients
East Suburban Sports Medicine Center, LTD. Physical Therapist PastSince Dec 31, 2022 Accepting new patients

Locations

133 Donohoe Rd
Ste 200
Greensburg, PA 15601

2571 Mosside Blvd
Monroeville, PA 15146
Phone (412) 856-8811

4115 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-7099

Interoperability endpoints

  • Direct secure messaging: nicholas.gennuso.1@94.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1831644970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166905",
            "telephone_number": "210-804-5400",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RESEARCH PLZ",
            "address_2": "SUITE 404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782355155",
            "telephone_number": "210-396-5396",
            "fax_number": "210-396-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNUSO",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "2118321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.j.gennuso@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.