NPIMap

Organization Active NPI

Genesis Eldercare Rehab Services

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1841402906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
344026 Issued in WI
Legal business name
GENESIS ELDERCARE REHAB SERVICES
Practice address
4502 Milwaukee Street
Madison, WI 53714
Phone
(608) 249-2137
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa Elizabeth Theis, REGISTERED
Title
Occupational Therapist
Phone
(608) 249-5589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 344026 WI Primary

Addresses

Primary practice location

4502 Milwaukee Street
Madison, WI 53714

Mailing address

330 Garnet Lane
Madison, WI 53714
Phone (608) 249-5589

National Provider Directory

National Provider Directory
Tax ID family
Genesis Eldercare Rehab LLC209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841402906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GARNET LANE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53714",
            "telephone_number": "608-249-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MILWAUKEE STREET",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53714",
            "telephone_number": "608-249-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "608-249-5589",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "344026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • 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.