Genesis

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA18944 Issued in FL

Legal business name

GENESIS

Practice address

2653 Reflections PL
W. Melbourne, FL 32904

Phone

(321) 723-3515

NPI assigned

Jan 23, 2009

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth HoppingNPI 1285876896

Title

Pta

Phone

(321) 723-3515

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, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Hopping, PTA

  • Physical Therapy Assistant
  • West Melbourne, FL
  • NPI 1285876896
  NPD (past) Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1396983607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 REFLECTIONS PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329046665",
            "telephone_number": "321-723-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 REFLECTIONS PL",
            "city": "W. MELBOURNE",
            "state": "FL",
            "postal_code": "32904",
            "telephone_number": "321-723-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "HOPPING",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "321-723-3515"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PTA18944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Eyeglass Venture LLC
• Eye Centers of Brevard, LLC
• Amy B Faulkner, PT
• Florida Pediatric Group PA
• Florida Shores Assisted Living Facility Inc. (Florida Shores of Melbourne 2 ALF)
• Shawn Lee Gilbert, LMT
• Omaira Luz Gonzalez
• Taoufiq Hammond, RPH
• Health Management LLC (Brevard Health & Rehab)
• Denise Clark Huber, D.C.

• Skilled Nursing Facility in W Melbourne, FL
• Providers in W Melbourne, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.