NPIMap

Organization Active NPI

Genesis Rehab

  • Physical Disabilities Residential Treatment Facility
  • Sanford, FL
National Provider Identifier
1770725137
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
PT9967 Issued in FL
Legal business name
GENESIS REHAB
Practice address
5133 Majestic Woods Place
Sanford, FL 32771
Phone
(407) 324-3980
NPI assigned
Apr 1, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Clarivi W Noblejas, RPT
Title
PT
Phone
(407) 324-7204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X PT9967 FL Primary

Addresses

Primary practice location

5133 Majestic Woods Place
Sanford, FL 32771

Mailing address

5133 Majestic Woods PL
Sanford, FL 32771-5401
Phone (407) 324-3980

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1770725137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 MAJESTIC WOODS PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715401",
            "telephone_number": "407-324-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 MAJESTIC WOODS PLACE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-324-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "NOBLEJAS",
        "authorized_official_first_name": "CLARIVI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "407-324-7204",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "PT9967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.