NPIMap

Organization Active NPI

Gptrs II

Doing business as Genesis Physical Therapy and Rehabilitation Services LLC

  • Physical Therapist
  • Ridgeland, MS
National Provider Identifier
1174851984
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3765 Issued in MS
Legal business name
GPTRS II
Doing business as
Genesis Physical Therapy and Rehabilitation Services LLC
Practice address
227 Highway 51
Ridgeland, MS 39157-4423
Phone
(601) 898-4324
Fax
(601) 898-4325
NPI assigned
Dec 7, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mrs. Margaret Stevens Jones
Title
Administrator
Phone
(601) 898-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3765 MS Primary

Addresses

Primary practice location

227 Highway 51
Ridgeland, MS 39157-4423

Mailing address

227 Highway 51
Ridgeland, MS 39157-4423
Phone (601) 898-4324

Other identifiers 2

IdentifierTypeStateIssuer
410455061OtherMSBLUE CROSS STEGALL
425069689FOtherMSBLUE CROSS TRUSSELL

Other names 1

  • Genesis Physical Therapy and Rehabilitation Services LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160215002532 MS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860527108 Receives reassigned benefits from 5 practitioners
Practice locations: Ridgeland, MS; Pearl, MS; Laurel, MS; Flowood, MS; Clinton, MS; Byram, MS

National Provider Directory

National Provider Directory

Locations

728 Clinton Pkwy
#A
Clinton, MS 39056
Phone (601) 898-7527

290 E Layfair Dr
#B
Flowood, MS 39232
Phone (601) 983-1200

4812 Lakeland Dr
Flowood, MS 39232
Phone (601) 608-3223

1707 W 20th St
Laurel, MS 39440
Phone (601) 428-2004

106 Highland Way
Ste 201
Madison, MS 39110
Phone (601) 790-9444

314 Airport Rd S
Pearl, MS 39208
Phone (601) 664-2044

3208 Service Dr
Ste E
Pearl, MS 39208
Phone (601) 664-2044

227 Highway 51
Ridgeland, MS 39157
Phone (601) 898-4324

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1174851984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HIGHWAY 51",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574423",
            "telephone_number": "601-898-4324",
            "fax_number": "601-898-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HIGHWAY 51",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574423",
            "telephone_number": "601-898-4324",
            "fax_number": "601-898-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPTRS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-898-4324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS STEGALL",
            "identifier": "410455061",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TRUSSELL",
            "identifier": "425069689F",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Physical Therapy and Rehabilitation Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.