Genesis Rivera Simon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11597 Issued in SC

Practice address

3016 Longtown Commons Dr Ste 200a&305
Columbia, SC 29229-7861

Phone

(803) 314-0500

NPI assigned

Sep 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gsimon194563@direct.lexmed.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lexington Health Inc

  dba Lexington Orthopaedic and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lexington Health Inc

  dba LMC Rehabilitation Services

  • Physical Therapist
  • Irmo, SC
  • NPI 1013515212
  NPD
• Lexington Health Inc

  dba Lexington Internal Medicine

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1396778056
  NPD (past)

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1942181326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 ASHLYNN WAY",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LONGTOWN COMMONS DR STE 200A&305",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297861",
            "telephone_number": "803-314-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "GENESIS",
        "middle_name": "RIVERA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsimon194563@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3016 Longtown Commons Dr Ste 200A&305",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292297861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carli Forest Simms
• Cheryl Lynn Simms, LPC,LSATP
• Jasmine Simms
• Antonio Sentel Simon
• Brecken Cora Simon, PA-C
• Keonna Simon
• Beverly Y Simons
• Lori Simons
• Olivia Mackenzie Simons, RBT
• Whitney Devore Simons, DMD

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.