NPIMap

Organization Active NPI

Genesis Physical Therapy, Inc.

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1922282250
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9224 Issued in CO
Legal business name
GENESIS PHYSICAL THERAPY, INC.
Practice address
899 Logan St
Suite 115
Denver, CO 80203-3130
Phone
(303) 393-1600
Fax
(303) 393-1777
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Mr. Todd Russell Ball, PT
Title
President
Phone
(303) 393-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 9224 CO Primary

Addresses

Primary practice location

899 Logan St
Suite 115
Denver, CO 80203-3130

Mailing address

899 Logan St
Suite 115
Denver, CO 80203-3130
Phone (303) 393-1600

National Provider Directory

National Provider Directory

Locations

899 N Logan St
Ste 115
Denver, CO 80203
Phone (303) 393-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1922282250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 LOGAN ST",
            "address_2": "SUITE 115",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033130",
            "telephone_number": "303-393-1600",
            "fax_number": "303-393-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 LOGAN ST",
            "address_2": "SUITE 115",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033130",
            "telephone_number": "303-393-1600",
            "fax_number": "303-393-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-393-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.