Mary Nelly Geronimo Navarrete, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295962 Issued in CA

Practice address

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5707

Phone

(805) 379-2132

Fax

(805) 917-4206

NPI assigned

Nov 14, 2018

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Nelly Geronimo Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

73.77 of 100Reported as group

Quality

31.85

Promoting interoperability

98

Improvement activities

40

Cost

82.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Feld Care Therapy Inc

  dba FeldCare Connects

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1770069338
  NPD
• South Bay Speech Therapy Clinic, PC

  • Hearing and Speech Clinic/Center
  • Torrance, CA
  • NPI 1144885344

  Physical Therapy

  NPD
• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1972072478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605707",
            "telephone_number": "805-379-2132",
            "fax_number": "805-917-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRETE",
        "first_name": "MARY NELLY",
        "middle_name": "GERONIMO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "295962",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "venturaortho.com",
            "affiliation": "N",
            "address_1": "137 E Thousand Oaks Blvd",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913605707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY NELLY",
            "last_name": "GERONIMO",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.