Genesis Rehabilitation Hospital, Inc.
Organization Active NPI Rehabilitation Hospital · Jacksonville, FL
NPI 1912947748 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1912947748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- 4443 (FL)
- Legal business name
- GENESIS REHABILITATION HOSPITAL, INC.
- Practice address
- 3599 University Blvd S
Jacksonville, FL 32216-4252 - Phone
- (904) 345-7607
- Fax
- (904) 345-7284
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeni Allen
- Title
- Director of Managed Care
- Phone
- (904) 345-7158
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Facilities with the same owner 5
Practitioners 91
-
Russell R Addeo, PHD
-
Gail M. Anderson, PSYD ABPP
-
Zac Houck, PHD
-
Anissa Maffett, PHD
-
Anna-Marie Roland, PSYD
-
Laura Wulff, PH.D.
-
Gloria M Morel Valdes, PSYD
-
Sarah Jane Larosa, OTR/L
-
Judith Arostegui, PT, DPT
-
Marissa Bartley, M.S., SLP
-
Sharon Katherine Batenhorst, MS, CCC-SLP
-
Jaclyn Alyssa Batteiger, PT, DPT
-
Anne Hill Boddy, D.P.T.
-
Nicholas Calabro, DPT
-
Bethany Clubb, PT, DPT
-
Kimberly Council, SLP
-
Neal Anthony Covas, DPT
-
Mary Ann Daly, LCSW
-
Nicholas J Deprima, PSY.D.
-
Nicholas J Dreger, DPT, ATC
Affiliated clinicians 585
-
Anthony Abate, PA-C
-
Ali Reza Afshar, M.D.
-
Cesar Ian Aguirre, M.D.
-
Bashir Ahmed, M.D.
-
Louis Anthony Akra, M.D.
-
Heather Ann Albertson, PA-C
-
Vorbes Aleger, M.D.
-
Shreya Amin, APRN
-
Alex M Arce, D.O.
-
Stephen Arndt, M.D.
-
Syed A Asad, M.D.
-
Emma E Atwell, PA-C
-
Adam Walker Bagley, M.D.
-
Eduardo Jose Balbona, M.D.
-
Pavel Balduyeu, MD
-
Razvan Balotescu, M.D.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Brooks Rehabilitation Hospital University Campus
- Ownership
- Non-profit
- Certified
- Jan 3, 1995
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Hospital certification: CCN 103039
- Legal name
- GENESIS REHABILITATION HOSPITAL, INC.
- Doing business as
- BROOKS REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Jan 3, 1995
- Last certification
- Jun 17, 2019
- Beds
- 170
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 1, 1982 in FL
- Enrollment address
- 3599 University S Blvd
Jacksonville, FL 32216-4252 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Genesis Health Inc |
5% Or Greater Direct Ownership Interest | Jun 9, 2017 | 100% |
| Douglas Baer |
Corporate Director | Mar 1, 2008 | |
| W-2 Managing Employee | Mar 1, 2008 | ||
| Jennifer Allen |
W-2 Managing Employee |
Feb 10, 2025 | |
| James Tabor |
Corporate Officer |
Feb 1, 2022 | |
| W-2 Managing Employee |
Feb 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060327000312 | FL | Part a Provider - Hospital | 4284664954 |
1 other NPI on this enrollment Practice locations: Jacksonville, FL; St Augustine, FL; Saint Augustine, FL; Orange Park, FL |
| O20071026000121 | FL | Part B Supplier - Clinic/Group Practice | 4284664954 |
Receives reassigned benefits from 10 practitioners 1 other NPI on this enrollment Practice locations: Jacksonville, FL |
National Provider Directory
- Tax ID family
- Genesis Rehabilitation Hospital Inc
Locations
10423 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 854-2000
11705 San Jose Blvd
Ste 111
Jacksonville, FL 32223
Phone (904) 345-7450
14286 Beach Blvd
Ste 34
Jacksonville Beach, FL 32250
Phone (904) 345-7510
200 Southpark Blvd
Ste 201
Saint Augustine, FL 32086
Phone (904) 417-6236
104 Ashourian Ave
Ste 105
St Augustine, FL 32092
Phone (904) 230-7761
190 Southpark Blvd
Ste 100
St Augustine, FL 32086
Phone (904) 824-1478
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 4443 | FL | Yes |
Addresses
Primary practice location
3599 University Blvd S
Jacksonville, FL 32216-4252
Mailing address
3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600
Other practice location 1
1034 Dunn Ave
Jacksonville, FL 32218-4830
Phone (904) 757-1782
Other practice location 2
7749 Normandy Blvd Ste 147
Jacksonville, FL 32221-7658
Phone (904) 786-5579
Other practice location 3
190 Southpark Blvd Ste 100
St Augustine, FL 32086-4209
Phone (904) 824-1478
Other practice location 4
3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7200
Other practice location 5
200 Southpark Blvd Ste 201
St Augustine, FL 32086-3129
Phone (904) 417-6236
Other practice location 6
500 Park Ave
Orange Park, FL 32073-3132
Phone (904) 278-7890
Other practice location 7
14286 Beach Blvd Ste 34
Jacksonville, FL 32250-1570
Phone (904) 345-7510
Other practice location 8
11705 San Jose Blvd Ste 111
Jacksonville, FL 32223-1653
Phone (904) 345-7450
Other practice location 9
3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7210
Other practice location 10
10423 Centurion Pkwy N
Jacksonville, FL 32256-0527
Phone (904) 854-2090
Other practice location 11
104 Ashourian Ave Ste 105
St Augustine, FL 32092-5106
Phone (904) 230-7761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4443 | Other | FL | FLORIDA LICENSE |
Other names
- Brooks Rehabilitation
- Brooks Rehabilitation Centers
- Brooks Rehabilitation Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Jacksonville, FL
- Genesis Healthcare Corporation
- Genesis Home Care and Mental Health Services
- Genesis Home Healthcare, Limited Liability Company, Jackso
- Genesis Rehabilitation Hospital, Inc.
- Genesis Rehabilitation Hospital, Inc.
- Genesis Support Services
- Genesis Totalhealth and Wellness Center
- Genesiscare USA of Florida LLC
- Genesys Durable Medical Equipment LLC
- Genmedco LLC
All providers in Jacksonville, FL · Rehabilitation Hospital in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.