Genesis Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OTA00402 Issued in RI

Legal business name

GENESIS REHAB

Practice address

70 Gill Ave
Pawtucket, RI 02861-4315

Phone

(401) 722-7900

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Miss Stephanie Checrallah, COTA/L

Title

Occuptional Therapy Assistant

Phone

(401) 722-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1447546155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GILL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614315",
            "telephone_number": "401-722-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GILL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614315",
            "telephone_number": "401-722-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "CHECRALLAH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OCCUPTIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "401-722-7900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "OTA00402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Gavilanes
• Roy Anthony Gayle
• James M. Geckler, PHD, LMHC
• Lori Ann Geiselman, L.I.C.S.W.
• Genesis
• Genesis Transportation
• Jenna Marie Georgiou, MD
• Geret a Du Bois MD, Inc
• Geriatric Clinical Services Inc
• Dana Marie Gesmondi, RN

• Skilled Nursing Facility in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.