Active NPI
Genevieve Labnao Hermoso, PT
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1922438407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5428
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0015649 | CO | MD | Physical Therapist |
| 5428 | NM | MD | Physical Therapist |
| 0276671 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Rehab Services LLC | Physical Therapist | Current | 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.
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
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.