Genesis Rehab

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6220 Issued in MA

Legal business name

GENESIS REHAB

Practice address

745 Truman Hwy
Hyde Park, MA 02136-3536

Phone

(617) 361-8300

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jody Vanallen, MS, CCC-SLP

Title

Speech Language Pathologist

Phone

(508) 695-6879

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Jens Van Allen, M.S.P.T

  • Athletic Trainer
  • Foxboro, MA
  • NPI 1447467527
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790803385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OAK KNOLL DR",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606209",
            "telephone_number": "508-695-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 TRUMAN HWY",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363536",
            "telephone_number": "617-361-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANALLEN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "508-695-6879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuente de Vida Adult Day Care Services, LLC
• Sana Morondia Gabisi, RN
• Gahcr II Hyde Park SNF TRS Sub, LLC (Park Place Rehabilitation and Skilled Care Center)
• Gascard Gaston
• Gabriel Gbidye, RN
• Barbara A Gibbs, RN
• Gisslene Home Health Aide Agency LLC
• Ken J Gomes
• Gina Gonzales
• Brandon Goris

• Speech-Language Pathologist in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.