NPIMap

Organization Active NPI

Genecco Rehab Inc

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1235455734
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12379 Issued in FL
Legal business name
GENECCO REHAB INC
Practice address
17380 Alt A1A
Suite 305
Jupiter, FL 33477-5860
Phone
(561) 741-1661
Fax
(561) 741-1663
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Timothy D Genecco, PT
Title
President/Owner
Phone
(561) 373-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT12379 FL Primary

Addresses

Primary practice location

17380 Alt A1A
Suite 305
Jupiter, FL 33477-5860

Mailing address

11134 Oak Way Cir
Palm Beach Gardens, FL 33410-3316
Phone (561) 373-6308

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1235455734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11134 OAK WAY CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103316",
            "telephone_number": "561-373-6308",
            "fax_number": "866-757-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17380 ALT A1A",
            "address_2": "SUITE 305",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775860",
            "telephone_number": "561-741-1661",
            "fax_number": "561-741-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENECCO REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "GENECCO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-373-6308",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.