GENESIS ELDERCARE REHABILITATION SERVICES, LLC (NPI# 1407141005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407141005 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE REHABILITATION SERVICES, LLC |
| Other Organization Name | GENESIS REHABILITATION SERVICES |
| Practice Address |
4580 Forest Hill Irene Rd Memphis TN 38125-3799 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 9016142699 |
| Mailing Telephone | (610) 444-6350 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-03-17 |
| NPI Deactivation Date | 11/10/2015 |
| NPI Reactivation Date | 2017-08-29 |
| Authorized Official Name | MR. DANIEL ALLEN HIRSCHFELD (PRESIDENT) |
| Authorized Official Telephone | 6109254025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Genesis Rehabilitation Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Laboratory Rd, Oak Ridge, TN 378306911 | 8654831314 | 8654833118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912269432 | Genesis Eldercare Rehabilitation Services, LLC | Occupational Therapist | 12335 W Bend Dr, Saint Louis, MO 63128-2160 | 2012-06-11 |
| 1679984249 | Genesis Eldercare Rehabilitation Services, LLC | Clinic/Center | 1580 E River Rd, Tucson, AZ 85718-7629 | 2014-05-16 |
| 1891106746 | Genesis Eldercare Rehabilitation Services, LLC | Clinic/Center | 1251 Rural Ave, C/o Roseview Court, Williamsport, PA 17701 | 2014-05-14 |
| 1194136176 | Genesis Eldercare Rehabilitation Services, LLC | Clinic/Center | 150 Farmstead Lane, C/o Elmcroft of State College, State College, PA 16803-3339 | 2014-05-13 |
| 1376802785 | Genesis Eldercare Rehabilitation Services, LLC | Physical Therapist | 2455 N Woodlawn Blvd, Wichita, KS 67220-3996 | 2012-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Genesis ElderCare Rehabilitation Services, LLC | 101 E. State Street, Kennett Square, PA 19348 |
| Washington State Corporations | GENESIS ELDERCARE REHABILITATION SERVICES, LLC | 101 E State St, Kennett Sq, PA 19348 |
| Oregon Corporations, Companies and Business Names | GENESIS ELDERCARE REHABILITATION SERVICES, LLC | 101 E State St, Kennett Square, PA 19348 |
| Connecticut Business Registrations | GENESIS ELDERCARE REHABILITATION SERVICES, LLC | 101 E. State Street, Kennett Square, PA 19348 |
| Street Address |
4580 FOREST HILL IRENE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-3799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932443389 | Karen Elaine El Ahmadi | Speech-Language Pathologist | 4580 Forest Hill Irene Rd, Memphis, TN 38125-3799 | 2012-11-23 |
| 1841759321 | Faith E Medlin | Occupational Therapy Assistant | 4580 Forest Hill Irene Rd, Memphis, TN 38125-3799 | 2019-03-14 |
| 1356856850 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 4580 Forest Hill Irene Rd, Memphis, TN 38125-3799 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651076 | Phoebe Bauer | Physical Therapist | 5039 Park Ave Ste 102, Memphis, TN 38117-5701 | 2020-08-24 |
| 1215546718 | Kadra Pace | Physical Therapist | 3535 Kirby Pkwy, Memphis, TN 38115-3721 | 2020-07-30 |
| 1134745235 | Ellen Mitchell | Physical Therapist | 265 N Willett St, Memphis, TN 38112-5117 | 2020-06-24 |
| 1255950770 | Jeana Norton | Physical Therapist | 980 Poplar Ave, Memphis, TN 38105-4614 | 2020-04-14 |
| 1386284610 | Faith Nicole Kiphut | Physical Therapist | 930 Madison Ave Dept Of, Memphis, TN 38103-3410 | 2020-01-15 |
| 1316404700 | Mallory Lynn Riddle | Physical Therapist | 535 Mcdermitt Rd, Memphis, TN 38120-1616 | 2019-02-21 |
| 1134693450 | Anne Kathryn Parker | Physical Therapist | 708 Saint Augustine Sq, Memphis, TN 38104-5054 | 2019-01-21 |
| 1639645245 | Cameron Waggoner | Physical Therapist | 1779 Kirby Pkwy # 12582, Memphis, TN 38138-3666 | 2018-10-22 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1548780752 | Justin M Kilgore | Physical Therapist | 440 N Front St Ste 102, Memphis, TN 38105-1538 | 2017-06-20 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.