Genesys Integrated Group Practice PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GENESYS INTEGRATED GROUP PRACTICE PC

Practice address

7057 N Clio Rd
Mount Morris, MI 48458-8261

Phone

(810) 424-2007

Fax

(810) 743-1099

NPI assigned

Apr 23, 2007

Last updated

Apr 21, 2014By 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

Paul Garson

Title

Chief Financial Officer

Phone

(810) 424-2007

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1902024334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 N CLIO RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588261",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 N CLIO RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588261",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS INTEGRATED GROUP PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GARSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "810-424-2007"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN PT GROUP",
            "identifier": "PENDING RECEIPT",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.