Genesis Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1999137004 Issued in MO

Legal business name

GENESIS REHAB

Practice address

250 S New Florissant Rd
Florissant, MO 63031-6716

Phone

(314) 830-7950

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Renee Gantner, COTA/LNPI 1962522458

Title

Program Manager

Phone

(636) 379-9106

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.

• Michelle Gantner, COTA

  • Occupational Therapy Assistant
  • Florissant, MO
  • NPI 1962522458
  NPD (past) Authorized official

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1801028956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 LOGAN VALLEY DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763799",
            "telephone_number": "636-379-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S NEW FLORISSANT RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316716",
            "telephone_number": "314-830-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "GANTNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "636-379-9106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "1999137004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Direct Care LLC
• Gateway Direct Primary Care JV LLC
• Gateway Orthodontics
• Genesis Consumer Directed Services, LLC
• Genesis Eldercare Rehab Services
• John Edgar Gentles Sr., DDS
• Genuine Care, LLC
• Genuine Health Care LLP
• Shirley Ann George, RN
• April Lashe Gerhardt

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.