Genesis Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0119003307 Issued in VA

Legal business name

GENESIS REHABILITATION

Practice address

8000 Iliff Dr
Dunn Loring, VA 22027-1235

Phone

(703) 444-1000

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By 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

Annie Manii

Title

Regional Rehab Director

Phone

(703) 404-1000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1871968461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 ILIFF DR",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ILIFF DR",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271235",
            "telephone_number": "703-444-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "MANII",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "REGIONAL REHAB DIRECTOR",
        "authorized_official_telephone_number": "703-404-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "0119003307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA",
            "identifier": "0119003307",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahmud R. Elbackush, MD
• Elevate Physical Therapy and Wellness, LLC
• Nazila Ganji, D.D.S.
• Kristin Nicole Garman, BSN, RN
• Genesis Rehab
• Monamie Ghatak, D.D.S
• Haze Green Jr.
• Kimberly Harper, CCC-SLP
• Iliff Opco LLC (August Healthcare at Iliff)
• Invigorate Chiropractic Care LLC

• Skilled Nursing Facility in Dunn Loring, VA
• Providers in Dunn Loring, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.