Organization Active NPI

Generations Rehab Services, Inc

  • Physical Therapy Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1114570629
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GENERATIONS REHAB SERVICES, INC
Practice address
10031 Pines Blvd Ste 216
Pembroke Pines, FL 33024-6169
Phone
(954) 305-5001
Fax
(954) 391-9736
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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

Authorized official

Name
Ms. Nancy Pierre-Destin, PT
Title
Owner/Director
Phone
(954) 305-5001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10031 Pines Blvd Ste 216
Pembroke Pines, FL 33024-6169

Mailing address

2380 Bayberry Dr
Pembroke Pines, FL 33024-3025
Phone (954) 305-5001

Other practice location 1

6966 Taft St
Hollywood, FL 33024-3800
Phone (954) 305-5001

Other identifiers 1

IdentifierTypeStateIssuer
115425900MedicaidFL

National Provider Directory

National Provider Directory

Locations

10031 Pines Blvd
Ste 216
Pembroke Pines, FL 33024
Phone (954) 305-5001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1114570629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 BAYBERRY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243025",
            "telephone_number": "954-305-5001",
            "fax_number": "954-391-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 216",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246169",
            "telephone_number": "954-305-5001",
            "fax_number": "954-391-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6966 Taft St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330243800",
            "country_code": "US",
            "telephone_number": "954-305-5001",
            "fax_number": "954-391-9736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENERATIONS REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "PIERRE-DESTIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "954-305-5001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115425900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; 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.