Organization Active NPI

Genesis Rehab

  • Skilled Nursing Facility
  • Vernon, CT
National Provider Identifier
1366974875
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000647 Issued in CT
Legal business name
GENESIS REHAB
Practice address
1253 Hartford Tpke
Vernon, CT 06066-4560
Phone
(860) 375-7315
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Mrs. Patty Cosgrove Barresi, COTA/L
Title
Occupational Therapist Assistant
Phone
(860) 375-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000647 CT Primary

Addresses

Primary practice location

1253 Hartford Tpke
Vernon, CT 06066-4560

Mailing address

1253 Hartford Tpke
Vernon, CT 06066-4560
Phone (860) 375-7315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1366974875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664560",
            "telephone_number": "860-375-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664560",
            "telephone_number": "860-375-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BARRESI",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "COSGROVE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "860-375-7315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "000647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.