Genesis Sports Performance Inc
NPI 1679126320ActiveOrganization· Physical Therapist· Lake Forest, CA
Physical Therapist in Lake Forest, California, registered in NPPES in July 2019. The authorized official on file is Lisa Campbell, PT, Owner/Physical Therapist.
Overview
| NPI | 1679126320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2019 |
| Last updated in NPPES | Jul 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Lake Forest
- 1689716128
- 1588236707
- 1578107801
- 1891826871
- 1316342033
- 1093104333
- 1225614332
- 1720522972
- 1205339611
- 1104590389
- 1689439739
- 1952564890