Organization Active NPI

Genesis PT and Rehab Services

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
National Provider Identifier
1184768376
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3765 Issued in MS
Legal business name
GENESIS PT AND REHAB SERVICES
Practice address
227 Hwy 51
Ridgeland, MS 39157-4425
Phone
(601) 898-4324
Fax
(601) 898-4325
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT0695 MS
Physical Therapy Clinic/Center 261QP2000X PT3765 MS Primary

Addresses

Primary practice location

227 Hwy 51
Ridgeland, MS 39157-4425

Mailing address

227 Hwy 51
Ridgeland, MS 39157-4425
Phone (601) 898-4324

Other identifiers 2

IdentifierTypeStateIssuer
410455061OtherMSBLUE CROSS STEGALL
425069689FOtherMSBLUE CROSS TRUSSELL

National Provider Directory

National Provider Directory

Locations

201 Highway 51
#A
Ridgeland, MS 39157
Phone (601) 622-6454

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1184768376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HWY 51",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574425",
            "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 HWY 51",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574425",
            "telephone_number": "601-898-4324",
            "fax_number": "601-898-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PT AND REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-05-02",
        "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT0695",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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": []
}

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 May 2, 2008; 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.