NPIMap

Organization Active NPI

Genesys Orthotics and Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Grand Blanc, MI
National Provider Identifier
1720049257
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GENESYS ORTHOTICS AND PROSTHETICS, LLC
Practice address
2598 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone
(810) 606-6570
Fax
(810) 606-6571
NPI assigned
Apr 1, 2006
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Joy M Finkenbiner
Title
VP Professional & Support Services
Phone
(810) 606-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2598 Genesys Pkwy
Grand Blanc, MI 48439-8069

Mailing address

2598 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone (810) 606-6570

Other identifiers 5

IdentifierTypeStateIssuer
1467OtherMIBCN
510B504710OtherBCBSM
0990317OtherMIHEALTHPLUS OF MICHIGAN
3389268 TYPE 85MedicaidMI
58004OtherMINPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930028443 MI DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 1759402126 Practice locations: Grand Blanc, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Genesys Ortho & Pros2598 Genesys Pkwy, Grand Blanc, MI 48439-8069(810) 606-6570 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jul 13, 1999

National Provider Directory

National Provider Directory
Tax ID family
Genesys Orthotics and Prosthetics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 10

Organizations listed as members of this organization in the National Provider Directory.

Locations

2598 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-6570

4646 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-6570

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1720049257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398069",
            "telephone_number": "810-606-6570",
            "fax_number": "810-606-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398069",
            "telephone_number": "810-606-6570",
            "fax_number": "810-606-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS ORTHOTICS AND PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "FINKENBINER",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP PROFESSIONAL & SUPPORT SERVICES",
        "authorized_official_telephone_number": "810-606-6565"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "1467",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "510B504710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0990317",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3389268 TYPE 85",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN",
            "identifier": "58004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.