NPI Registry.org

Mary Nelly Geronimo

NPI Registration Record

Provider / OrganizationNPIDate Certified
MARY NELLY GERONIMO19720724782022-10-01

Mary Nelly Geronimo [F] graduated in 2018 and primarily specializes in Physical Therapy.

Mary Nelly Geronimo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972072478. Registration indicates Mary Nelly Geronimo is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)

PECOS ID4385979509
Entity TypeIndividual
Provider Name Mary Nelly Geronimo DPT
Practice Office Address137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA US
Practice Office Telephone8053792132
Practice Office Fax8059174206
Mailing Address5720 RALSTON ST STE 200
VENTURA, CA 930037844 US
Business Telephone8058044168
Business Fax8058301177
Offices / Locations
AddressCity / StatePhone / Fax
3109 Meadowstone Dr Simi Valley, CA 930632189 6193160321
31248 Oak Crest Dr Ste 120 Westlake Village, CA 913615673 8189269057
463 Pennsfield Pl Ste 103 Thousand Oaks, CA 913605571 8052333800
Contact Endpoints
CONNECT URL []https://venturaortho.com/
CONNECT URL []venturaortho.com
HPT Codes
CodePractice
License No
State
225100000X PRIMARY
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Physical Therapist

Speech/Occupational/Physical Therapy/Chiropractor

Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
295962
CA
OPI Codes
295962 OTHER CA STATE LICENSE
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