Organization Active NPI

Genesis PT & Wellness, PLLC

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1194466573
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GENESIS PT & WELLNESS, PLLC
Practice address
2520 N Carroll Ave
Dallas, TX 75204-3008
Phone
(214) 257-8907
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Jessica SnowNPI 1063060572
Title
Physical Therapist
Phone
(214) 257-8907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2520 N Carroll Ave
Dallas, TX 75204-3008

Mailing address

421 Walker CT S
Waxahachie, TX 75167-6000

National Provider Directory

National Provider Directory

Locations

2520 N Carroll Ave
Dallas, TX 75204
Phone (214) 257-8907

Practitioners & affiliated clinicians

Practitioners 1

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1194466573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WALKER CT S",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751676000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N CARROLL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043008",
            "telephone_number": "214-257-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PT & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-257-8907"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

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