Genesis Medical and Rehabilitation Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

EL.2786103 Issued in CO

Legal business name

GENESIS MEDICAL AND REHABILITATION CENTER

Practice address

5950 S Willow Dr
Suite 200
Greenwood Village, CO 80111-5170

Phone

(720) 515-8002

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Johnson, DC

Title

Owner

Phone

(720) 515-8002

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1184088932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR",
            "address_2": "SUITE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115170",
            "telephone_number": "720-515-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR",
            "address_2": "SUITE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115170",
            "telephone_number": "720-515-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-515-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CO",
            "license": "EL.2786103",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CO",
            "license": "CHR.0006922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Stephan Geisler, CRNA
• Daniil Gekhman, DO
• Melissa Gell
• Anna G Geltser, MD
• Genesis Chiropractic Spine Ctr
• Kathleen A. Geraci, REGISTERED NURSE
• Skyler Getz, CAA
• Isabella F Geyer, PSY.D.
• Aakash Ghai, DO
• Ghiselli Spine PC

• Pain Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Pain Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.