Genex Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501009827 Issued in MI

Legal business name

GENEX PHYSICAL THERAPY

Practice address

4953 Schaefer Rd
Dearborn, MI 48126-3260

Phone

(313) 228-5271

Fax

(313) 228-5274

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kallil I. Kazan

Title

Director

Phone

(313) 228-5271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1720313588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263260",
            "telephone_number": "313-228-5271",
            "fax_number": "313-228-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263260",
            "telephone_number": "313-228-5271",
            "fax_number": "313-228-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEX PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "KAZAN",
        "authorized_official_first_name": "KALLIL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-228-5271",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501009827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohsin Gelen, FNP-BC
• Nadia Yousef Gellani
• Siham Gellani, CNM
• Michael Chaouki Gemayel
• Mario Geneau
• George Brian Gennaoui, D.O
• Rebecca Gensler, RN, CNS
• Gentle Growth ABA LLC
• Gentle Hands Direct Care Services, Inc.
• Gentle Hearts LLC

• Physical Therapy Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.