Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Titusville, FL
National Provider Identifier
1508137662
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OTA10565 Issued in FL
Legal business name
GENESIS REHAB SERVICES
Practice address
1550 Jess Parrish CT
Titusville, FL 32796-2147
Phone
(321) 269-2200
NPI assigned
Jan 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Authorized official

Name
Miss Rachel Lindsey Kattke, COTA/L
Title
Occupational Therapy Assistant
Phone
(321) 514-0702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OTA10565 FL Primary

Addresses

Primary practice location

1550 Jess Parrish CT
Titusville, FL 32796-2147

Mailing address

5609 Victoria Gardens Blvd
Apt 1403
Port Orange, FL 32127-7979
Phone (321) 514-0702

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1508137662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 VICTORIA GARDENS BLVD",
            "address_2": "APT 1403",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277979",
            "telephone_number": "321-514-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962147",
            "telephone_number": "321-269-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "KATTKE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "321-514-0702",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OTA10565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.