Diane Georgetti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00495000 Issued in NJ

Practice address

3900 Church Rd
Mount Laurel, NJ 08054-1108

Phone

(800) 774-5516

Fax

(856) 429-4755

NPI assigned

Feb 29, 2016

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bancroft, a New Jersey Nonprofit Corporation

  • Rehabilitation Clinic/Center
  • Cherry Hill, NJ
  • NPI 1720121106
  Medicare reassignment NPD
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Laurel, NJ
  • NPI 1598808941
  Medicare reassignment

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1972963346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "800-774-5516",
            "fax_number": "856-429-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541108",
            "telephone_number": "800-774-5516",
            "fax_number": "856-429-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGETTI",
        "first_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00495000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gatton
• Travis James Gehringer, M.D.
• Nicole Olivia Gemignani
• General Medical of NJ Inc
• Katherine Genuino, DPT
• Gerald S. Convissar DDS PA
• Gerda & Associates, LLC
• Emilyann C Germanis
• Jason Gerst
• Anushree Ghosh, RN

• Physical Therapist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.