Organization Active NPI

Genesis Rehab Services

  • General Acute Care Hospital
  • Panama City, FL
National Provider Identifier
1780011296
Registry record updated Sep 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PTA24248 Issued in FL
Legal business name
GENESIS REHAB SERVICES
Practice address
2819 Tracy Lynn CT
Panama City, FL 32405-7215
Phone
(850) 217-9707
NPI assigned
Sep 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2013

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

Authorized official

Name
Lisa Day
Title
Pta
Phone
(850) 217-9707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PTA24248 FL Primary
Skilled Nursing Facility 314000000X PTA24248 FL

Addresses

Primary practice location

2819 Tracy Lynn CT
Panama City, FL 32405-7215

Mailing address

2819 Tracy Lynn CT
Panama City, FL 32405-7215

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380326400000",
    "number": "1780011296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 TRACY LYNN CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 TRACY LYNN CT",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057215",
            "telephone_number": "850-217-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-28",
        "last_updated": "2013-09-28",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "850-217-9707"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "PTA24248",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PTA24248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; 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.