GENNE DETTENAU MCDONALD (PT) – Physical Therapist, NPI 1699930057

GENNE DETTENAU MCDONALD (PT) is a healthcare provider. based in Gainesville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT9145 (FL). The NPI Number for GENNE DETTENAU MCDONALD (PT) is 1699930057

Main info

Female
37 Years Of Experience
Name
GENNE DETTENAU MCDONALD (PT)
NPI
1699930057
Phone
(352) 373-7984
Address
PO BOX 357279
Enumeration Date
25 July 2008
Last Update Date
16 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705003848
Graduation Year
1989 (37 years ago)
PAC ID
0648347021
Group Practice PAC ID
9830241744
Professional Enrollment ID
I20251104001326
Address ID
GA303413939AT3300XEXPR301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for GENNE DETTENAU MCDONALD (PT)

  • PO BOX 357279

    GAINESVILLE, FL 326357279

    Phone: (352) 373-7984

    Fax: (352) 332-3812

    Type: Mailing

  • West Newberry Road, Beville Heights, Gainesville, Alachua County, Florida, 32607, United States

    SUITE 4

    GAINESVILLE, FL 326072355

    Phone: (352) 373-7984

    Fax: (352) 332-3812

    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: 2025-11-04

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
I20251104001326IPhysical Therapist In Private PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32635)

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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: 9830241744View full group profile
NameSpecialtyState
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-FL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to GENNE DETTENAU MCDONALD (PT)?
The federal identifier for GENNE DETTENAU MCDONALD (PT) is NPI 1699930057.
Does this profile mean GENNE DETTENAU MCDONALD (PT) is currently active?
Yes — GENNE DETTENAU MCDONALD (PT) appears active in the national provider directory.
Can you summarize GENNE DETTENAU MCDONALD (PT)'s specialty in plain language?
Clinically, the directory lists GENNE DETTENAU MCDONALD (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for GENNE DETTENAU MCDONALD (PT)?
We surface Gainesville, Florida for GENNE DETTENAU MCDONALD (PT) based on available NPPES addresses.
How can I contact GENNE DETTENAU MCDONALD (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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