Genesis Pain Management

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2301009814 Issued in MI

Legal business name

GENESIS PAIN MANAGEMENT

Practice address

12947 Townsend Dr
#412
Grand Ledge, MI 48837-8727

Phone

(561) 901-3098

NPI assigned

Aug 18, 2011

Last updated

Aug 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Blanche R Rosenblatt

Title

President

Phone

(561) 901-3098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1649550906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12947 TOWNSEND DR",
            "address_2": "#412",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378727",
            "telephone_number": "561-901-3098",
            "fax_number": "517-708-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12947 TOWNSEND DR",
            "address_2": "#412",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378727",
            "telephone_number": "561-901-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "BLANCHE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-901-3098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301009814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Foster, R.PH.
• Alison Fox, PA
• Paige Nicole Frey, OTR/L
• Cecilia Ynez Garcia, PA-C
• Robyn D Gazall, DO
• Abby Gilbert
• Ayverie Lucille Giller
• Dan Yaw Gordon, PHARMACIST
• Grand Ledge Area Emergency Services
• Grand Ledge Dental Center

• Rehabilitation Chiropractor in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Rehabilitation Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.