Genevieve Lillie Pena, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1342821 Issued in TX

Practice address

10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506

Phone

(817) 431-9000

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Beelieve Pediatric Therapy Clinic LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1598185985
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1972195063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WEYHILL DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135445",
            "telephone_number": "214-901-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Bryce Ln",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750777038",
            "country_code": "US",
            "telephone_number": "214-477-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "GENEVIEVE",
        "middle_name": "LILLIE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelvic Neuromonitoring PLLC
• Pelvis Power PT, LLC
• Pemf Recovery No 1, LLC
• Adam James Pena, DDS
• Ana Liza Pena
• Israel Pena, M.D.
• Nathan Jamal Pena, IDC
• Silvia Dayana Pena, RN
• John T Pender Jr., MD
• Marisa Pendery

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.