Genesis Rehabilitation Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

OT13166 Issued in FL

Legal business name

GENESIS REHABILITATION SERVICES

Practice address

7260-2 Greenboro Dr
West Melbourne, FL 32904

Phone

(321) 727-0090

NPI assigned

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Dianna Linda Apostol Puchero, OTR/L

Title

Occupational Therapist

Phone

(321) 305-8389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1861647109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 GREENBORO DR APT 2",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041698",
            "telephone_number": "321-727-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260-2 GREENBORO DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "32904",
            "telephone_number": "321-727-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "PUCHERO",
        "authorized_official_first_name": "DIANNA LINDA",
        "authorized_official_middle_name": "APOSTOL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "321-305-8389",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "OT13166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Gallo, MHS
• Amy Galloway, LCSW
• Patricia Gamblin
• Todd Jacob Gates, D.O.
• Genesis Rehab Services
• Edward Andrew Gilbert, D.C.
• Apryl Gillette
• Nicole Gillham
• Apphia Glenn, RCSWI
• Michelle Gonzalez

• Nursing Care Agency in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.