Active NPI
Genesis Therapy Associates Inc.
- Occupational Therapist
- Livingston, NJ
National Provider Identifier
1902370562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- GENESIS THERAPY ASSOCIATES INC.
- Doing business as
- Genesis Therapy Associates Inc.
- Practice address
- 9 Billingsley Dr
Livingston, NJ 07039-4609 - Phone
- (973) 722-1973
- NPI assigned
- Jan 17, 2019
- Last updated
- Sep 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vidhya Mampilly, OTR
- Title
- President
- Phone
- (973) 722-1973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
9 Billingsley Dr
Livingston, NJ 07039-4609
Mailing address
9 Billingsley Dr
Livingston, NJ 07039-4609
Phone (973) 722-1973
Other names 1
- Genesis Therapy Associates Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Livingston, NJ
- NPI 1699175083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630540800000",
"number": "1902370562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BILLINGSLEY DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394609",
"telephone_number": "973-722-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BILLINGSLEY DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394609",
"telephone_number": "973-722-1973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS THERAPY ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-17",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A",
"authorized_official_last_name": "MAMPILLY",
"authorized_official_first_name": "VIDHYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-722-1973",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Therapy Associates Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.