Genesis Rehab Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA20862 Issued in FL

Legal business name

GENESIS REHAB SERVICES

Practice address

800 NW 95TH St
Miami, FL 33150-2032

Phone

(305) 853-5848

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Debra L Larue, PTA

Title

Physical Therapist Asst

Phone

(954) 612-1389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1437572724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WHITE STONE WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253065",
            "telephone_number": "954-612-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502032",
            "telephone_number": "305-853-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASST",
        "authorized_official_telephone_number": "954-612-1389",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PTA20862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Medical Wellness Center Corp.
• Genesis of Florida Enterprises Corp
• Genesis Outpatient Rehabilitation
• Genesis Pharmacy Corp
• Genesis Rehab Corp
• Genesis Rehabilitation Center LLC
• Genesis Services of Miami Inc
• Genesis Therapy LLC
• Genesis Wellness & Rehab Center Inc
• Genesis Wound Care Center LLC

• Skilled Nursing Facility in Miami, FL
• Providers in Miami, 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, 2014; 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.