NPIMap

Organization Active NPI

Genesis Rehab

  • Nursing Facility/Intermediate Care Facility
  • Broomall, PA
National Provider Identifier
1679817696
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
OC012201 Issued in PA
Legal business name
GENESIS REHAB
Practice address
146 Marple Rd
Broomall, PA 19008-2040
Phone
(610) 356-0100
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Marie Antoinette Carbo, M.S. OTR/LNPI 1851738215
Title
Occupational Therapist
Phone
(484) 557-6601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OC012201 PA Primary

Addresses

Primary practice location

146 Marple Rd
Broomall, PA 19008-2040

Mailing address

905 Charleston GRN
Malvern, PA 19355-2457
Phone (484) 557-6601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1679817696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CHARLESTON GRN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552457",
            "telephone_number": "484-557-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MARPLE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082040",
            "telephone_number": "610-356-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "CARBO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "484-557-6601",
        "authorized_official_credential": "M.S. OTR/L"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "OC012201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.