NPIMap

Organization Active NPI

Genesis Medical and Rehabilitation Center

  • Pain Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1184088932
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Dr. Clyde Johnson, DCNPI 1063766723
Title
Owner
Phone
(720) 515-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CHR.0006922 CO
Pain Clinic/Center 261QP3300X EL.2786103 CO Primary
Urgent Care Clinic/Center 261QU0200X CHR.0006922 CO

Addresses

Primary practice location

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

Mailing address

5950 S Willow Dr
Suite 200
Greenwood Village, CO 80111-5170
Phone (720) 515-8002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • 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.