Organization Active NPI

Genesis Rehabilitation Services

  • Physical Therapy Assistant
  • Hudson, FL
National Provider Identifier
1124337142
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 18917 Issued in FL
Legal business name
GENESIS REHABILITATION SERVICES
Practice address
7927 State Road 52
Hudson, FL 34667-6783
Phone
(727) 378-8586
Fax
(727) 378-8587
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Mrs. Elizabeth Jean Lightle, P.T.A.
Title
Physical Therapy Assistant
Phone
(727) 375-1745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X PTA 18917 FL Primary

Addresses

Primary practice location

7927 State Road 52
Hudson, FL 34667-6783

Mailing address

7927 State Road 52
Hudson, FL 34667-6783
Phone (727) 378-8586

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1124337142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676783",
            "telephone_number": "727-378-8586",
            "fax_number": "727-378-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676783",
            "telephone_number": "727-378-8586",
            "fax_number": "727-378-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "LIGHTLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "727-375-1745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 18917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.