Individual provider Active NPI

Genevieve Labnao Hermoso, PT

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1922438407
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5428 Issued in NM
Practice address
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone
(575) 522-9528
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015649 CO
Physical Therapist 225100000X 0276671 NY
Physical Therapist 225100000X 5428 NM Primary

Addresses

Primary practice location

1350 Hillrise Cir
Las Cruces, NM 88011-4759

Mailing address

1350 Hillrise Cir
Las Cruces, NM 88011-4759

Other practice location 1

5235 Brook Way Apt 3
Columbia, MD 21044-1619
Phone (956) 607-2921

Other practice location 2

924 W Kiowa St
Colorado Springs, CO 80905
Phone (956) 607-2921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103002472 TX Practitioner - Physical Therapist in Private Practice 2365666385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015649COMDPhysical Therapist
5428NMMDPhysical Therapist
0276671NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Rehab Services LLC Physical Therapist CurrentSince Dec 30, 2024 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1922438407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 HILLRISE CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HILLRISE CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114759",
            "telephone_number": "575-522-9528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5235 Brook Way Apt 3",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210441619",
            "country_code": "US",
            "telephone_number": "956-607-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 W Kiowa St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80905",
            "country_code": "US",
            "telephone_number": "956-607-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMOSO",
        "first_name": "GENEVIEVE",
        "middle_name": "LABNAO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015649",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0276671",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.