Genesis Sports & Rehabilitation Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GENESIS SPORTS & REHABILITATION SERVICES, LLC

Practice address

102 Gregor Mendel Cir
Greenwood, SC 29646-2315

Phone

(864) 229-2663

Fax

(864) 229-9906

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George ManosNPI 1962552406

Title

Administrator

Phone

(864) 229-2663

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George J Manos, OT-R

  • Occupational Therapist
  • Greenwood, SC
  • NPI 1962552406
  NPD (past) Authorized official
• Heidi Ann Blake

  • Physical Medicine & Rehabilitation Physician
  • Greenwood, SC
  • NPI 1336318633
  NPD (past)
• Tina Kathleen Paysinger, DPT

  • Physical Therapist
  • Greenwood, SC
  • NPI 1801953039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1013257229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11959",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154010",
            "telephone_number": "864-229-2663",
            "fax_number": "864-229-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462315",
            "telephone_number": "864-229-2663",
            "fax_number": "864-229-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SPORTS & REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "MANOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-229-2663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarese Gaston
• Emily Ann Gath, PA-C
• Jessica Gault
• Chasity M Gauthier, EDS, LMFT INTERN
• Ashley Geiger, MA
• Lauren Genson
• Michael Bruce Gentry, D.O.
• Caleb George, CRNA
• Matthew Douglas Germroth, MD
• Laura Kristin Geyer, BA

• Physical Therapist in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.