Organization Active NPI

Genesis Spine Associates, Inc.

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1962624593
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GENESIS SPINE ASSOCIATES, INC.
Practice address
6101 Windcom CT
Ste 300
Plano, TX 75093-7817
Phone
(972) 378-9991
Fax
(972) 378-9992
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Nick J Coleman, DC
Title
Owner
Phone
(972) 378-9991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6101 Windcom CT
Ste 300
Plano, TX 75093-7817

Mailing address

6101 Windcom CT
Ste 300
Plano, TX 75093-7817
Phone (972) 378-9991

National Provider Directory

National Provider Directory

Locations

5800 W Interstate 20
Arlington, TX 76017
Phone 81747787080

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1962624593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM CT",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937817",
            "telephone_number": "972-378-9991",
            "fax_number": "972-378-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM CT",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937817",
            "telephone_number": "972-378-9991",
            "fax_number": "972-378-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SPINE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-378-9991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.