Genesis Health Care

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

160005805 Issued in IL

Legal business name

GENESIS HEALTH CARE

Practice address

7130 Crimson Ridge Dr
Rockford, IL 61107-6222

Phone

(815) 395-1452

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Casey L Buchner, PTA

Title

Physical Therapist Assistant

Phone

(608) 728-1884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1760766794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 CRIMSON RIDGE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076222",
            "telephone_number": "815-395-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BUCHNER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "608-728-1884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "160005805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Gaziano, PA-C
• Michael L Gaziano, MSW LCSW
• Megan M. Gearhart, P.T.
• Andrew P Geddes, MD
• Geiselhart Solution Focused Therapy, LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genoa Healthcare, LLC
• Cynthia Genrich, COSMETOLOGIST
• Catherine A Gentz, CNS

• Physical Therapy Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapy Clinic/Center in Illinois

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