Active NPI
Genesis Rehabilitation Services
- Rehabilitation Clinic/Center
- Skowhegan, ME
National Provider Identifier
1285033779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- OA2639
- Legal business name
- GENESIS REHABILITATION SERVICES
- Practice address
- 7 Wilson St
Skowhegan, ME 04976-2022 - Phone
- (207) 313-1419
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Anne Tracy, COTA/L
- Title
- Occupational Therapy Assistant
- Phone
- (207) 313-1419
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | OA2639 | ME | Primary |
Addresses
Primary practice location
7 Wilson St
Skowhegan, ME 04976-2022
Mailing address
7 Wilson St
Skowhegan, ME 04976-2022
Phone (207) 313-1419
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Healthcare
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Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- Skowhegan, ME
- NPI 1720827132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1285033779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WILSON ST",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049762022",
"telephone_number": "207-313-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WILSON ST",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049762022",
"telephone_number": "207-313-1419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "TRACY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
"authorized_official_telephone_number": "207-313-1419",
"authorized_official_credential": "COTA/L"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "ME",
"license": "OA2639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.