NPIMap

Organization Active NPI

Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC

  • Physical Therapy Clinic/Center
  • Quebradillas, PR
National Provider Identifier
1386464600
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CLINICA DE TERAPIA FISICA Y REHABILITACION GENESIS LLC
Practice address
Carr #2 KM 100 Bo Cacao
Quebradillas, PR 00678-0980
Phone
(787) 895-4633
Fax
(787) 895-4490
NPI assigned
Oct 11, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Luz C Butler Moya, DRNPI 1346245032
Title
Terapista Fisico
Phone
(787) 895-4633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203003181 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880124098 Receives reassigned benefits from 3 practitioners
Practice locations: Barceloneta, PR; Quebradillas, PR

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr #2 KM 100 Bo Cacao
Quebradillas, PR 00678-0980

Mailing address

PO Box 980
Quebradillas, PR 00678-0980
Phone (787) 895-4633

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1609985621MedicaidPR
1346245032MedicaidPR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2024.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1386464600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780980",
            "telephone_number": "787-895-4633",
            "fax_number": "787-895-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 100 BO CACAO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780980",
            "telephone_number": "787-895-4633",
            "fax_number": "787-895-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE TERAPIA FISICA Y REHABILITACION GENESIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER MOYA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TERAPISTA FISICO",
        "authorized_official_telephone_number": "787-895-4633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609985621",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346245032",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.