NPIMap

Organization Active NPI

Genesis Rehab

  • Physical Therapy Clinic/Center
  • Mechanicsburg, PA
National Provider Identifier
1558764092
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
TE1003493 Issued in PA
Legal business name
GENESIS REHAB
Practice address
1100 Grandon Way
Mechanicsburg, PA 17050-9191
Phone
(717) 761-4528
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Mrs. Jessica Ames, PT
Title
PT
Phone
(717) 761-4528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TE1003493 PA Primary

Addresses

Primary practice location

1100 Grandon Way
Mechanicsburg, PA 17050-9191

Mailing address

18 Park Dr
Dillsburg, PA 17019-1300
Phone (570) 357-2452

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab2 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": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1558764092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PARK DR",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170191300",
            "telephone_number": "570-357-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRANDON WAY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509191",
            "telephone_number": "717-761-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "717-761-4528",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "TE1003493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.