Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genene Lara

Individual provider Physical Therapist · NPI 1417647561

Genene Lara is a Physical Therapist in Private Practice in Pismo Beach, California. Qualified in 2023, 3 years ago. Practices with Physical Therapy Specialists Pts Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

271 Five Cities Dr
Pismo Beach, CA 93449-3009
Phone: (805) 473-7499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304074 (CA)

Record details

NPI number1417647561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing addressPo Box 2638, Pismo Beach, CA 93448-2638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physical Therapy Specialists Pts Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pismo Beach