Genevieve Therapy Services LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

07519597 Issued in TN

Legal business name

GENEVIEVE THERAPY SERVICES LLC

Practice address

470 N Parkway
Suite C
Jackson, TN 38305-2812

Phone

(731) 300-7400

NPI assigned

May 13, 2013

Last updated

Nov 5, 2015By 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

Miss Twanna Reaves, OTR

Title

Owner

Phone

(731) 609-1102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1164868592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10141",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080102",
            "telephone_number": "731-609-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N PARKWAY",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052812",
            "telephone_number": "731-300-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "TWANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-609-1102",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TN",
            "license": "07519597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle M Cravens (Dr Gayle Michael Cravens)
• Megan Kathleen Gaylord, MS
• Misty Gayton, PTA
• Gcpcm Inc
• Genevieve Therapy Services
• Genoa Healthcare LLC
• George a Vraney MD PC
• George M Short DDS Ms PC
• Yvette George
• Anastasios L Georgiou, M.D.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Jackson, TN
• Providers in Jackson, TN by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.