Genesis Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1039998 Issued in TX

Legal business name

GENESIS PHYSICAL THERAPY

Practice address

547 E I30
Rockwall, TX 75087-5408

Phone

(214) 679-0186

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Donald R Zivney Jr., RPTNPI 1982685053

Title

Owner

Phone

(214) 679-0186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald R Zivney Jr., RPT

  • Specialist
  • Rockwall, TX
  • NPI 1982685053
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1043469075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E I30",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875408",
            "telephone_number": "214-679-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E I30",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875408",
            "telephone_number": "214-679-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "ZIVNEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-679-0186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1039998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Alexandra Garner, M.ED. LPC
• Allison Ann Garrison, M.S. CF-SLP
• Amanda Suzanne Garza, MSN, RN, FNP
• Lisa Jayne Gauvin, FNP-C
• Gaven, P.a.
• Beverly Barton Gentry, M.ED.
• Randy Gentry, APRN,FNP-C
• Kehren Mallory Gessner
• Get Set Physical Therapy & Wellness, PLLC
• Adil Ghafoor, M.D.

• Physical Therapy Clinic/Center in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.