NPIMap

Organization Active NPI

Generations R.C. Inc.

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1265969455
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GENERATIONS R.C. INC.
Practice address
13 Kanawha Blvd W Ste 300
Charleston, WV 25302-2350
Phone
(304) 757-2500
NPI assigned
May 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brenda Tarr
Title
Cfo
Phone
(304) 743-4954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

13 Kanawha Blvd W Ste 300
Charleston, WV 25302-2350

Mailing address

100 Peyton Way Ste 100
South Charleston, WV 25309-8545
Phone (304) 757-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031114000557 WV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577477462 Receives reassigned benefits from 14 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milton, WV; Nitro, WV; Winfield, WV; Charleston, WV; Benwood, WV; Barboursville, WV; Hurricane, WV

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265969455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY STE 100",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098545",
            "telephone_number": "304-757-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 KANAWHA BLVD W STE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022350",
            "telephone_number": "304-757-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS R.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-743-4954"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.