Genesis Health Care

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002708 Issued in CT

Legal business name

GENESIS HEALTH CARE

Practice address

16 Windsor Ave
Plainfield, CT 06374-1036

Phone

(860) 564-4081

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By 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

Dan Hirshfield

Title

President

Phone

(610) 925-4584

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679695043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-6 POMPEY RD",
            "city": "ASHFORD",
            "state": "CT",
            "postal_code": "062781517",
            "telephone_number": "860-487-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WINDSOR AVE",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741036",
            "telephone_number": "860-564-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIRSHFIELD",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-925-4584"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Fleming, OTR/L
• Hunter Foisy
• Walter D Fonfara, DMD
• Camryn Gallagher, MT-BC
• Debra Gauvin
• Genesis Healthcare
• Genesis Rehab Services
• Gina Tourangeau, Ms, LPC, Cac
• Maria A Gorby, LPC
• Jeni Grandelski, DPT

• Physical Therapist in Plainfield, CT
• Providers in Plainfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.