Active NPI
Genesys Orthothics and Prosthetics
- Prosthetic/Orthotic Supplier
- Grand Blanc, MI
National Provider Identifier
1407048754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- GENESYS ORTHOTHICS AND PROSTHETICS
- Practice address
- 841 Health Park Blvd
Grand Blanc, MI 48439-7383 - Phone
- (810) 606-6894
- NPI assigned
- Aug 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry D Brothers
- Title
- President
- Phone
- (810) 762-3662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | MI | Primary |
Addresses
Primary practice location
841 Health Park Blvd
Grand Blanc, MI 48439-7383
Mailing address
841 Health Park Blvd
Grand Blanc, MI 48439-7383
Phone (810) 606-6894
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467 | Other | MI | BCN NORTHWOODS |
| 0990317 | Other | MI | HEALTHPLUS OF MICHIGAN |
National Provider Directory
National Provider Directory- Tax ID family
- Genesys Orthotics and Prosthetics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Grand Blanc, MI
- NPI 1720049257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1407048754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 HEALTH PARK BLVD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397383",
"telephone_number": "810-606-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 HEALTH PARK BLVD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397383",
"telephone_number": "810-606-6894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESYS ORTHOTHICS AND PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BROTHERS",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-762-3662",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN NORTHWOODS",
"identifier": "1467",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS OF MICHIGAN",
"identifier": "0990317",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
- Genesys Health Enterprises, Inc.
- Genesys Hillside Behavioral Services
- Genesys Home Health & Hospice, Inc
- Genesys Hospital
- Genesys Integrated Group Practice PC
- Genesys Orthotics and Prosthetics, LLC
- Genesys Practice Partners
- Genesys Practice Partners Inc
- Genesys Practice Partners Inc
- Genesys Practice Partners Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.