Rolando Gentica Gersava, PT
Individual provider Active NPI Physical Therapist · Somerville, TN
NPI 1528091915 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528091915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2685 (TN)
- Practice address
- 301 N West St
Somerville, TN 38068-1309 - Phone
- (901) 465-1801
- Fax
- (901) 465-1894
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2685 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab World Inc | Physical Therapist | Current |
Accepting new patients |
Locations
7070 Highway 64
Oakland, TN 38060
Phone (901) 465-9191
301 N West St
Somerville, TN 38068
Phone (901) 465-1801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2685 | TN | Yes |
Addresses
Primary practice location
301 N West St
Somerville, TN 38068-1309
Mailing address
PO Box 908
Somerville, TN 38068-0908
Phone (901) 465-1801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3837068 | Other | TN | AETNA PROVIDER NUM |
| P00158981 | Other | TN | RAILROAD MEDICARE |
| 4086883 | Other | TN | BCBS PROVIDER NUM |
Other providers in Somerville, TN
- Meredith Fawcett
- Fayette County Schools
- Lloyann Ferrell-Bishop
- Melissa Fowler
- Garrard & Woodside LLC
- Mackenzie Gibbons
- Gregory Reeves
- Charles P Haddad
- Amanda H Hall
- Derrick R Hamilton
All providers in Somerville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.