Genesis Rehabilitation Services

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

3951 Issued in AZ

Legal business name

GENESIS REHABILITATION SERVICES

Practice address

7802 North 43Rd Avenue
Suite 3
Glendale, AZ 85301

Phone

(623) 939-3112

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adebola Bob Adekanmbi, PTNPI 1265521702

Title

Director

Phone

(623) 939-3112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adebola Adekanmbi, PT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1265521702

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952333114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 39717",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85069",
            "telephone_number": "623-939-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 NORTH 43RD AVENUE",
            "address_2": "SUITE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85301",
            "telephone_number": "623-939-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEKANMBI",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_middle_name": "BOB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-939-3112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General Practice Associates, P.C
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• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Nisha George, NP-C
• Sara George, MA CFY-SLP
• Sunil Sam George, P.T.

• Pediatric Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.