Active NPI
Genesis Rehabilitation LLC
- Physical Therapist
- Somerset, NJ
National Provider Identifier
1922717875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GENESIS REHABILITATION LLC
- Practice address
- 1 Clyde Rd Ste 101
Somerset, NJ 08873-3493 - Phone
- (908) 208-4104
- NPI assigned
- Nov 18, 2022
- 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
- Mr. Regan P Christie, RPT
- Title
- Rehab Director
- Phone
- (908) 208-4104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
1 Clyde Rd Ste 101
Somerset, NJ 08873-3493
Mailing address
1025 Schmidt LN
North Brunswick, NJ 08902-1355
Phone (908) 208-4104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Clyde Rd
Somerset, NJ 08873
Phone (848) 213-3163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Somerset, NJ
- NPI 1265974356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1922717875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 SCHMIDT LN",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021355",
"telephone_number": "908-208-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CLYDE RD STE 101",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088733493",
"telephone_number": "908-208-4104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "CHRISTIE",
"authorized_official_first_name": "REGAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "REHAB DIRECTOR",
"authorized_official_telephone_number": "908-208-4104",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.