Genesis

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PT24363 Issued in FL

Legal business name

GENESIS

Practice address

518 W Fletcher Ave
Tampa, FL 33612-3419

Phone

(813) 265-1600

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Michelle Pahl, DPT

Title

Physical Therapist

Phone

(954) 257-9379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1619377405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123419",
            "telephone_number": "813-265-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "PAHL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-257-9379",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PT24363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations Club
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• Gillian Trinette M Generoso, M.D.
• Genes Advice Holdings LLC
• Genes Advice LLC
• Genesis Administration LLC
• Genesis Brain Institute LLC
• Genesis Breast Screening PA
• Genesis Physicians Group LLC
• Megan Rae Geneux

• Skilled Nursing Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.