Genesis

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

280 Issued in OK

Legal business name

GENESIS

Practice address

17110 E 51St St
Broken Arrow, OK 74012-9279

Phone

(918) 851-0737

NPI assigned

Jun 16, 2014

Organization subpart

No

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

Authorized official

Name

Miss Joella Escoe, COTA/L

Title

Occupational Therapy

Phone

(918) 851-0737

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1306250675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 E 51ST STREET",
            "city": "BROKEN",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-851-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 E 51ST ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129279",
            "telephone_number": "918-851-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "ESCOE",
        "authorized_official_first_name": "JOELLA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "918-851-0737",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "280",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OK",
            "license": "OA280",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "OK",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy D Gauger
• Sheridann Gaunt
• Thomas Wayne Gauthier Sr.
• Moss Gawain
• Generations Family Counseling, Inc
• Jessica Lynn Genet, DPT
• Genoa Healthcare LLC
• Genscripts LLC
• Todd A Gentling, D.D.S.
• Matthew S.C. George, DPT

• Physical Disabilities Residential Treatment Facility in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Disabilities Residential Treatment Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.