Genesis Rehab. Services

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

1722 Issued in NC

Legal business name

GENESIS REHAB. SERVICES

Practice address

1471 Deer Rd
Mt Airy, NC 27030-1471

Phone

(336) 351-3401

NPI assigned

Oct 23, 2013

Organization subpart

Yes

Parent organization

MAGALINE AYERSAs reported in NPPES

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

Authorized official

Name

Mrs. Audrey F Jessup, COTA/L

Title

Rehab

Phone

(336) 351-3401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1669800025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 DEER RD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270307407",
            "telephone_number": "336-351-3401",
            "fax_number": "336-351-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 DEER RD",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "270301471",
            "telephone_number": "336-351-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB. SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGALINE AYERS",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "JESSUP",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REHAB",
        "authorized_official_telephone_number": "336-351-3401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Andrea Garland, MD
• Darrell Thomas Garner, LCSW
• Joanne Minish Garner, FNP
• Linda Mardell Gatchel, LCSW
• Genesis
• Genesis Rehabilitation
• Michael James Gentry
• Gracie George
• Richard Wayne Gilreath, DDS
• Karin Frances Giordano, M.D.

• Physical Disabilities Residential Treatment Facility in Mt Airy, NC
• Providers in Mt Airy, NC by specialty
• Physical Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.