Organization Active NPI

Genecco Rehab, Inc

  • Physical Therapist
  • Plantation, FL
National Provider Identifier
1023322591
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GENECCO REHAB, INC
Practice address
861 N Nob Hill Rd
Plantation, FL 33324-1076
Phone
(954) 577-5705
Fax
(954) 577-0168
NPI assigned
Jul 27, 2010
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Timothy D Genecco, PT
Title
President
Phone
(561) 741-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

861 N Nob Hill Rd
Plantation, FL 33324-1076

Mailing address

17380 Alt A1A
Suite 305
Jupiter, FL 33477-5860
Phone (561) 741-1661

National Provider Directory

National Provider Directory
Tax ID family
Genecco Rehab Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1023322591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17380 ALT A1A",
            "address_2": "SUITE 305",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775860",
            "telephone_number": "561-741-1661",
            "fax_number": "561-741-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 N NOB HILL RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241076",
            "telephone_number": "954-577-5705",
            "fax_number": "954-577-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENECCO REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "GENECCO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-741-1661",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.