Individual provider Active NPI

Leah Lisa Geneza, PT, DPT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1891237798
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43409 Issued in CA
Practice address
522 N Civic Dr
Apt C
Walnut Creek, CA 94597-3236
Phone
(916) 207-2615
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 43409 CA Primary

Addresses

Primary practice location

522 N Civic Dr
Apt C
Walnut Creek, CA 94597-3236

Mailing address

522 N Civic Dr
Apt C
Walnut Creek, CA 94597-3236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1891237798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N CIVIC DR",
            "address_2": "APT C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CIVIC DR",
            "address_2": "APT C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973236",
            "telephone_number": "916-207-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEZA",
        "first_name": "LEAH LISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.