Active NPI
Genesis Rehabilitation Services
- Physical Therapy Assistant
- Hudson, FL
National Provider Identifier
1124337142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 18917
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 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 Serv
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.
-
- Skilled Nursing Facility
- Lake Worth, FL
- NPI 1245571769
-
- Skilled Nursing Facility
- Venice, FL
- NPI 1013389568
-
- Rehabilitation Clinic/Center
- Pensacola, FL
- NPI 1598437915
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1093836207
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1467575217
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1174646921
-
- Speech-Language Pathologist
- Hudson, FL
- NPI 1215247333
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1356464101
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1386860807
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1396964011
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1447373295
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1568688083
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.