Active NPI
Genesis Rehab, Inc.
- Physical Therapy Clinic/Center
- Greensboro, AL
National Provider Identifier
1356590848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PTH3269
- Legal business name
- GENESIS REHAB, INC.
- Practice address
- 508 Green St
Greensboro, AL 36744-2316 - Phone
- (334) 289-5696
- NPI assigned
- Sep 9, 2008
- Last updated
- Sep 9, 2008
- Organization subpart
- Yes
- Parent organization
- GENESIS REHAB, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William J Holman, PT
- Title
- President
- Phone
- (334) 289-5696
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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PTH3269 | AL | Primary |
Addresses
Primary practice location
508 Green St
Greensboro, AL 36744-2316
Mailing address
1351 US Highway 80 W
Demopolis, AL 36732-4125
Phone (334) 289-5696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529927890 | Medicaid | AL |
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Rehabilitation Inc
- Part of
- Genesis Rehabilitation Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Demopolis, AL
- NPI 1861523706
-
- Physical Therapy Clinic/Center
- Meridian, MS
- NPI 1659034759
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Demopolis, AL
- NPI 1639182108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1356590848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 US HIGHWAY 80 W",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367324125",
"telephone_number": "334-289-5696",
"fax_number": "334-289-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 GREEN ST",
"city": "GREENSBORO",
"state": "AL",
"postal_code": "367442316",
"telephone_number": "334-289-5696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHAB, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESIS REHAB, INC.",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-289-5696",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AL",
"license": "PTH3269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529927890",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.