Organization Active NPI

Generations R.C., Inc.

Doing business as Generations Physical Therapy

  • Physical Therapist
  • Hurricane, WV
National Provider Identifier
1083776769
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GENERATIONS R.C., INC.
Doing business as
Generations Physical Therapy
Practice address
3705 Teays Valley Road
Suite 100
Hurricane, WV 25526
Phone
(304) 757-2500
Fax
(304) 757-2586
NPI assigned
Dec 15, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Mrs. Brenda Lynn Tarr, CFO
Title
Cfo
Phone
(304) 743-4954

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Orthopedic Physical Therapist 2251X0800X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3705 Teays Valley Road
Suite 100
Hurricane, WV 25526

Mailing address

P.O. Box 219
Milton, WV 25541
Phone (304) 743-4954

Other identifiers 2

IdentifierTypeStateIssuer
3810000-212MedicaidWV
1707207OtherWVBLUE CROSS BLUE SHIELD

Other names 1

  • Generations Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Generations Rcinc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1083776769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 219",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "25541",
            "telephone_number": "304-743-4954",
            "fax_number": "304-743-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 TEAYS VALLEY ROAD",
            "address_2": "SUITE 100",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-757-2500",
            "fax_number": "304-757-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS R.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-743-4954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000-212",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1707207",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.