NPIMap

Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Salisbury, MD
National Provider Identifier
1083842991
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
05962 Issued in MD
Legal business name
GENESIS REHAB SERVICES
Practice address
200 Civic Ave
Salisbury, MD 21804-4599
Phone
(410) 749-1466
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Megan Fratanduono, M.S.
Title
Speech Language Pathologist
Phone
(410) 749-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 05962 MD Primary

Addresses

Primary practice location

200 Civic Ave
Salisbury, MD 21804-4599

Mailing address

200 Civic Avenue
Salisbury, MD 21804

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1083842991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CIVIC AVENUE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CIVIC AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044599",
            "telephone_number": "410-749-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "FRATANDUONO",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "410-749-1466",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "05962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.