Genesis Physical Therapy PC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

O22008 Issued in NY

Legal business name

GENESIS PHYSICAL THERAPY PC

Practice address

14622 222ND St
Springfield Gardens, NY 11413-3835

Phone

(718) 415-3947

Fax

(718) 949-4243

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Michael Aborisade, RPTNPI 1942868765

Title

President/Ceo

Phone

(718) 415-3947

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael A Aborisade

  • Physical Therapist
  • Springfield Gardens, NY
  • NPI 1942868765
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1386896397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 222ND ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133835",
            "telephone_number": "718-415-3947",
            "fax_number": "718-949-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14622 222ND ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133835",
            "telephone_number": "718-415-3947",
            "fax_number": "718-949-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ABORISADE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-415-3947",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "O22008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belineda Gaudard, LPN
• Claudette Elaine Gayle-Babb
• Nastacia Gayle
• Trudy-Ann Kimberley Gayle, PH.D.
• Jimmy Gelin, MD
• Tessa E Gill-Drakes
• Karen Alisa Gist, MS ED
• Shirley A Gist, SSLP
• Kaffie Gordon
• Odelyn Lorna Gordon, RN

• Physical Disabilities Residential Treatment Facility in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Physical Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.