Active NPI
Genesis Rehab Services
- Occupational Therapist
- Moorestown, NJ
National Provider Identifier
1063995645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- GENESIS REHAB SERVICES
- Practice address
- 255 E Main St
Moorestown, NJ 08057-2982 - Phone
- (267) 269-6119
- NPI assigned
- Sep 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Willett, OTR/L
- Title
- Occupational Therapist
- Phone
- (267) 269-6119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
255 E Main St
Moorestown, NJ 08057-2982
Mailing address
2400 McClellan Ave Apt E714
Pennsauken, NJ 08109-7625
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536537600000",
"number": "1063995645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MCCLELLAN AVE APT E714",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081097625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E MAIN ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572982",
"telephone_number": "267-269-6119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHAB SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A",
"authorized_official_last_name": "WILLETT",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "267-269-6119",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.