MARY NELLY GERONIMO NAVARRETE (DPT) – Physical Therapist, NPI 1972072478

MARY NELLY GERONIMO NAVARRETE (DPT) is a healthcare provider. based in Ventura, California. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 295962 (CA). The NPI Number for MARY NELLY GERONIMO NAVARRETE (DPT) is 1972072478

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY NELLY GERONIMO NAVARRETE (DPT)
NPI
1972072478
Phone
(805) 804-4168
Address
5720 RALSTON ST STE 200
Enumeration Date
14 November 2018
Last Update Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055840001
Graduation Year
2018 (8 years ago)
PAC ID
4385979509
Group Practice PAC ID
3072575836
Professional Enrollment ID
I20190710003116

Contacts

Main Contact
venturaortho.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MARY NELLY GERONIMO NAVARRETE (DPT)

  • Ralston Street, Winchester Homes, Ventura, Ventura County, California, 93009, United States

    VENTURA, CA 930037844

    Phone: (805) 804-4168

    Fax: (805) 830-1177

    Type: Mailing

  • Lynn Road, Thousand Oaks, Ventura County, California, 91360, United States

    THOUSAND OAKS, CA 913601975

    Phone: (805) 379-2132

    Fax: (805) 917-4206

    Type: Location

  • 137 E THOUSAND OAKS BLVD

    THOUSAND OAKS, CA 913605707

    Phone: (805) 379-2132

    Fax: (805) 917-4206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190710003116IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,14274$0
97140Therapy procedure using manual technique, each 15 minutes27848$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22339$0
97162Evaluation for physical therapy, typically 30 minutes3129$0
97161Evaluation for physical therapy, typically 20 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 93003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072575836View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA

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Frequently asked questions

Is MARY NELLY GERONIMO NAVARRETE (DPT) listed with a National Provider Identifier?
Yes — MARY NELLY GERONIMO NAVARRETE (DPT) has NPI 1972072478 on file in the registry.
Would MARY NELLY GERONIMO NAVARRETE (DPT) appear as active to a payer?
You can treat MARY NELLY GERONIMO NAVARRETE (DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARY NELLY GERONIMO NAVARRETE (DPT)?
At a glance, MARY NELLY GERONIMO NAVARRETE (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MARY NELLY GERONIMO NAVARRETE (DPT) located near Ventura?
MARY NELLY GERONIMO NAVARRETE (DPT) currently maps to Ventura, California in this extract.
When was this NPI issued?
Enumeration for MARY NELLY GERONIMO NAVARRETE (DPT) is noted as November 14, 2018 where the registry provides it.

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