Genesis Rehab Services PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GENESIS REHAB SERVICES PC

Practice address

462 Main St
Agawam, MA 01001-1833

Phone

(610) 925-4560

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Lindsay Vertullo

Title

Owner

Phone

(610) 925-4560

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1578012340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011833",
            "telephone_number": "610-925-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "VERTULLO",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-925-4560"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Health Ventures of Massachusetts, Inc (Heritage Hall West)
• Genesis Health Ventures of Massachusetts, Inc (Heritage Hall North)
• Genesis Health Ventures of Massachusetts, Inc. (Heritage Hall East)
• Genesis Health Ventures of Massachusetts, Inc. (Heritage Woods)
• Genesis Health Ventures of Massachusetts, Inc. (Heritage Hall South)
• Geriatric Primary Care PC
• Debra Lee Germain, COTA
• Michael John Gillis, PA-C
• Stephanie Girard
• Pamela Glemboski, RPH

• Physical Therapist in Agawam, MA
• Providers in Agawam, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.