Gensis Rehab Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA 24657 Issued in FL

Legal business name

GENSIS REHAB SERVICES

Practice address

1010 Carpenters Way
Lakeland, FL 33809-3926

Phone

(863) 940-4711

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Ronnie Callaway Jr.

Title

Physical Therapist Assistant

Phone

(863) 272-0541

Specialties & licenses 1

Addresses

Tax ID family

Genesis Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Healthcare

  • Physical Therapy Clinic/Center
  • Arden, NC
  • NPI 1447611728
  NPD tax ID
• Genesis Rehab Services

  • Skilled Nursing Facility
  • Cartersville, GA
  • NPI 1538573340
  NPD tax ID

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1417339276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093926",
            "telephone_number": "863-940-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENSIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "863-272-0541",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PTA 24657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Rehabilitation Services
• Genesis Rehabilitation Services
• Elizabeth Gennari
• Genoa Healthcare LLC
• Renee Genova
• Janice Elaine Gentile
• Jill Gentile
• Charles George, PHARM.D.
• Elizabeth Ninan George, OD
• Soeurette Georges

• Skilled Nursing Facility in Lakeland, FL
• Providers in Lakeland, 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 Jun 29, 2015; 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.