Organization Active NPI

Genesis Therapy Services, PLLC

  • Occupational Therapist
  • McAllen, TX
National Provider Identifier
1821371386
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GENESIS THERAPY SERVICES, PLLC
Practice address
4325 N 23Rd St
Ste a
McAllen, TX 78504-4166
Phone
(956) 627-0108
Fax
(956) 627-0110
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Mr. Dickson Rodriguez, OTR, MA
Title
Occupational Therapist/Ceo
Phone
(956) 627-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

4325 N 23Rd St
Ste a
McAllen, TX 78504-4166

Mailing address

4325 N 23Rd St
Ste a
McAllen, TX 78504-4166
Phone (956) 627-0108

Other identifiers 2

IdentifierTypeStateIssuer
143939003MedicaidTX
219990301MedicaidTX

National Provider Directory

National Provider Directory

Locations

4325 N 23rd St
Ste A
McAllen, TX 78504
Phone (956) 222-4776

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1821371386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 N 23RD ST",
            "address_2": "STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044166",
            "telephone_number": "956-627-0108",
            "fax_number": "956-627-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 N 23RD ST",
            "address_2": "STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044166",
            "telephone_number": "956-627-0108",
            "fax_number": "956-627-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/CEO",
        "authorized_official_telephone_number": "956-627-0108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR, MA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143939003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219990301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.