Individual provider Active NPI

Gellen April Marie Lustria Nonato, PT, DPT

  • Physical Therapist
  • Kernersville, NC
National Provider Identifier
1992388144
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15805 Issued in NC
Practice address
1635 NC Highway 66 S Ste 255
Kernersville, NC 27284-3855
Phone
(336) 992-4820
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X P15805 NC Primary

Addresses

Primary practice location

1635 NC Highway 66 S Ste 255
Kernersville, NC 27284-3855

Mailing address

610 Pisgah Church Rd Unit 7
Greensboro, NC 27455-2567

Other practice location 1

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gnonato594762@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702000185 NC Practitioner - Physical Therapist in Private Practice 7012318645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
80.57
Promoting interoperability
100
Improvement activities
40
Cost
77.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. CurrentSince May 10, 2021 Accepting new patients
Moses Cone Physician Services Inc CurrentSince May 10, 2021 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince May 10, 2021 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince May 10, 2021 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

4443 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 663-4600

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1635 NC Highway 66 S
Ste 255
Kernersville, NC 27284
Phone (336) 922-4820

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1992388144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PISGAH CHURCH RD UNIT 7",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NC HIGHWAY 66 S STE 255",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843855",
            "telephone_number": "336-992-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011313",
            "country_code": "US",
            "telephone_number": "336-275-0927",
            "fax_number": "336-275-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NONATO",
        "first_name": "GELLEN APRIL MARIE",
        "middle_name": "LUSTRIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gnonato594762@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.