Organization Active NPI

Genesis Rehabiliation

  • Skilled Nursing Facility
  • New Bedford, MA
National Provider Identifier
1063893923
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OT 9814 Issued in MA
Legal business name
GENESIS REHABILIATION
Practice address
863 Hathaway Rd
New Bedford, MA 02740-1916
Phone
(508) 996-6763
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Megan Noel Bussiere, MS OTR/L
Title
Occupational Therapist
Phone
(508) 642-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OT 9814 MA Primary

Addresses

Primary practice location

863 Hathaway Rd
New Bedford, MA 02740-1916

Mailing address

8 Holland St
Dartmouth, MA 02748-1646
Phone (508) 642-0742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1063893923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOLLAND ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027481646",
            "telephone_number": "508-642-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 HATHAWAY RD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401916",
            "telephone_number": "508-996-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BUSSIERE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "508-642-0742",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "OT 9814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.