Genesis Rehab Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001962 Issued in WV

Legal business name

GENESIS REHAB SERVICES

Practice address

201 Wood St
Sistersville, WV 26175

Phone

(304) 652-1032

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

James Christopher Wisvari, DPT

Title

Physical Therapist

Phone

(740) 795-5492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 FIRST STREET",
            "city": "POWHATAN",
            "state": "OH",
            "postal_code": "43942",
            "telephone_number": "740-795-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOOD ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "26175",
            "telephone_number": "304-652-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISVARI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "740-795-5492",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dieringer
• Gabrielle Marie Dill
• Dr. Richard B. Stender
• Ramon H Fagundo, MD
• Kylea Erin Garrett, RN
• Thomas Lee Gilligan, D.O.
• Mitchell Lee Goodwin
• Tina Goudy
• Jennifer Harlan, OTR
• Hayes Professional Service LLC

• Physical Therapist in Sistersville, WV
• Providers in Sistersville, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.