Genyl Rufino, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019011728 Issued in MO

Practice address

14585 Manchester Rd
Manchester, MO 63011-3963

Phone

(314) 941-3970

Fax

(314) 931-1352

NPI assigned

Jul 9, 2018

Last updated

Jul 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1164918603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14585 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113963",
            "telephone_number": "314-941-3970",
            "fax_number": "314-931-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14585 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113963",
            "telephone_number": "314-941-3970",
            "fax_number": "314-931-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Nationalway Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MO",
            "postal_code": "630115352",
            "country_code": "US",
            "telephone_number": "314-941-3970",
            "fax_number": "314-931-1352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFINO",
        "first_name": "GENYL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294996",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019011728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Manchester, MO
• Providers in Manchester, MO by specialty
• Physical Therapist in Missouri

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