Genesis Rehab

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

SA6013 Issued in FL

Legal business name

GENESIS REHAB

Practice address

2626 Goodlette Rd N
Naples, FL 34103-4526

Phone

(239) 262-3814

Fax

(239) 262-5687

NPI assigned

Aug 13, 2009

Last updated

Aug 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy Cheryl Braverman, CCC-SLPNPI 1740519354

Title

Speech-Language Pathologist

Phone

(239) 282-3814

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Cheryl Braverman

  • Health Educator
  • Naples, FL
  • NPI 1740519354
  NPD (past) Authorized official

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1104058866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 RIDGE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341083440",
            "telephone_number": "239-254-1020",
            "fax_number": "239-597-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 GOODLETTE RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034526",
            "telephone_number": "239-262-3814",
            "fax_number": "239-262-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "239-282-3814",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "SA6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Kathleen Geiger, CRNA
• Bruce A Gelinas, MD
• Ricardo Gelpi, APRN
• Raisa Genao
• Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
• Genesiscare USA of Florida LLC (The Surgical Group of Naples)
• Genesiscare USA of Florida LLC (Naples Urology Associates)
• Genesiscare USA of Florida LLC (Liberman Advanced Surgical)
• Genesiscare USA of Florida LLC (Southwest Florida Breast Surgery)
• Natasha Genevro

• Health Maintenance Organization in Naples, FL
• Providers in Naples, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.