Genesis Rehab.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100097 Issued in MO

Legal business name

GENESIS REHAB.

Practice address

12858 Strathearn Drive
St. Louis, MO 63146

Phone

(314) 469-5008

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Lyra R Phan, PHYSICAL THERAPY

Title

Physicat Therapist

Phone

(314) 469-5008

Specialties & licenses 1

Addresses

Tax ID family

Genesis Eldercare Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Eldercare Rehab Services

  • Skilled Nursing Facility
  • Florissant, MO
  • NPI 1104059559
  NPD tax ID

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1346473873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12858 STRATHEARN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463773",
            "telephone_number": "314-469-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12858 STRATHEARN DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-469-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LYRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAT THERAPIST",
        "authorized_official_telephone_number": "314-469-5008",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "100097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis in Home Care LLC
• Genesis in Home Care LLC
• Genesis Medical Associates, P.C.
• Genesis Pharmacy Services, LLC
• Genesis Rehab Services
• Genesiscare Landmark Missouri Cancer Care PC
• Genetic Coverage Consulting
• Geneticare Laboratory Inc.
• Catherine Genetti, OTRL
• Elvin Hsing Geng, MD

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.