Individual provider Active NPI

Georgina Buenaventura Lerma, RPT

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1881646222
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025892-1 Issued in NY
Practice address
1910 South Rd
Poughkeepsie, NY 12601-6027
Phone
(845) 454-0120
Fax
(845) 454-6080
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025892-1 NY Primary
Physical Therapist 225100000X 40QA01089100 NJ

Addresses

Primary practice location

1910 South Rd
Poughkeepsie, NY 12601-6027

Mailing address

1910 South Rd
Poughkeepsie, NY 12601-6027
Phone (845) 454-0120

Other names 1

  • Ms. Georgina Regina Lerma Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000009 NY Practitioner - Physical Therapist in Private Practice 5799793154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campilii-Snyder Physical Therapy PCGroup PAC ID 3375433972, 18 clinicians

Practice addresses (Care Compare)

2 Delavergne Ave
Wappingers Falls, NY 12590-1202
Phone (845) 297-4789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01089100NJMDPhysical Therapist
025892-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Campilii-Snyder Physical Therapy PC Physical Therapist CurrentSince May 18, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4353 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 233-4960

2 Delavergne Ave
Wappingers Fl, NY 12590
Phone (845) 297-4789

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1881646222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016027",
            "telephone_number": "845-454-0120",
            "fax_number": "845-454-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016027",
            "telephone_number": "845-454-0120",
            "fax_number": "845-454-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "GEORGINA",
        "middle_name": "BUENAVENTURA",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025892-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01089100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINA",
            "last_name": "LERMA",
            "middle_name": "REGINA",
            "prefix": "MS.",
            "credential": "RPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.