Individual provider Active NPI

Ashley Genello, DPT

  • Physical Therapist
  • Forest City, PA
National Provider Identifier
1871269720
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029808 Issued in PA
Practice address
354 Main St
Forest City, PA 18421-1418
Phone
(570) 785-2018
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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 PT029808 PA Primary

Addresses

Primary practice location

354 Main St
Forest City, PA 18421-1418

Mailing address

354 Main St
Forest City, PA 18421-1418
Phone (570) 785-2018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915001829 PA Practitioner - Physical Therapist in Private Practice 2466858535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Physical Therapy IncGroup PAC ID 4981675709, 19 clinicians

Practice addresses (Care Compare)

19 Dundaff St
Carbondale, PA 18407-1828
Phone (570) 282-3302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029808PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, Inc Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients

Locations

1000 Meade St
Ste 208
Dunmore, PA 18512
Phone (570) 342-5333

354 Main St
Forest City, PA 18421
Phone (570) 785-2018

Organizations & group practices 1

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1871269720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211418",
            "telephone_number": "570-785-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211418",
            "telephone_number": "570-785-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENELLO",
        "first_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.