Active NPI
Genesis Eldercare Rehabilitation Services, Inc
- Physical Therapist
- Olathe, KS
National Provider Identifier
1669731048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GENESIS ELDERCARE REHABILITATION SERVICES, INC
- Doing business as
- Genesis Rehabilitation Services
- Practice address
- 1558 E Spruce St
Olathe, KS 66061-3647 - Phone
- (913) 839-8562
- Fax
- (913) 839-8563
- NPI assigned
- May 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Allen Hirschfeld
- Title
- President
- Phone
- (610) 925-4025
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1558 E Spruce St
Olathe, KS 66061-3647
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350
Other names 1
- Genesis Rehabilitation Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Outpatient physical therapy / speech pathology certification: CCN 176576
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- GENESIS REHABILITATION SERVICES
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Apr 27, 2015
- Last certification
- Apr 27, 2015
- Ownership / control type
- Proprietary
- Facility address
- 1558 E Spruce
Olathe, KS 66061
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Rehab Serv
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349740800000",
"number": "1669731048",
"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": "610-444-6350",
"fax_number": "610-925-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 E SPRUCE ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660613647",
"telephone_number": "913-839-8562",
"fax_number": "913-839-8563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-07",
"last_updated": "2012-10-09",
"status": "A",
"authorized_official_last_name": "HIRSCHFELD",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-925-4025",
"authorized_official_name_prefix": "Mr."
},
"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": [
{
"organization_name": "Genesis Rehabilitation Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.