GENESIS PHYSICAL THERAPY, LLC (NPI# 1528138393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528138393 |
| Entity Type | Organization |
| Organization Name | GENESIS PHYSICAL THERAPY, LLC |
| Other Organization Name | MESA HEALTH IMPROVEMENT CENTER |
| Practice Address |
6343 E Main St Suite 8 Mesa AZ 85205-8954 |
| Practice Telephone | 4803258838 |
| Practice Fax Number | 4803259191 |
| Mailing Telephone | 4803258838 |
| Mailing Fax Number | 4803259191 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | MR. N. DOUGLAS ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 4803258838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
OTC4110 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 200152 | 05 | |
| AZ | 698269 | 05 |
| Other Name | Type Code |
|---|---|
| Mesa Health Improvement Center | Former Legal Business Name - Organization |
| Street Address |
6343 E MAIN ST SUITE 8 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-8954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183894 | Danny Lee Nielson | Chiropractor | 6343 E Main St, #17, Mesa, AZ 85205-8954 | 2005-12-05 |
| 1396026100 | Lynn Ingalls | Physical Therapist | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2011-09-07 |
| 1205166055 | Joseph M Poloni | Physical Therapist | 6343 E Main St, Ste #8, Mesa, AZ 85205-8954 | 2009-12-29 |
| 1255591806 | Healthcare Dme | Durable Medical Equipment & Medical Supplies | 6343 E Main St, Ste B5 & B6, Mesa, AZ 85205-8954 | 2008-06-16 |
| 1346437308 | Mesa Health Improvement Center | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2007-10-03 |
| 1366521049 | O&p Research Lab, Inc. | Prosthetic/Orthotic Supplier | 6343 E Main St, Suite B1, Mesa, AZ 85205-8954 | 2006-11-03 |
| 1053368589 | Mesa Health Improvement Center, LLC | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2006-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864986 | Goldfield Mountain Healthcare, Inc. | Clinic/Center | 5848 E University Dr, Mesa, AZ 85205-7443 | 2019-07-29 |
| 1063880243 | Higley Healthcare, Inc. | Clinic/Center | 5121 E Broadway Rd, Mesa, AZ 85206-1308 | 2015-09-04 |
| 1346437308 | Mesa Health Improvement Center | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2007-10-03 |
| 1053368589 | Mesa Health Improvement Center, LLC | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2006-05-29 |
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| 1073734075 | Toyei Industries Incorporated | Clinic/Center | Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 | 2007-05-01 |
| 1326091455 | Advanced Medical Therapy, LLC | Clinic/Center | 15640 North 7th Street, Ste 6, Phoenix, AZ 85022 | 2006-05-18 |
| 1104827963 | La Posada At Park Centre Inc | Clinic/Center | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2005-08-02 |
| 1669095758 | Scottsdale Mental Health and Wellness Institute | Clinic/Center | 8350 E Raintree Dr Ste 130, Scottsdale, AZ 85260-2692 | 2020-05-22 |
| 1174173579 | Arion Care Solutions, LLC | Clinic/Center | 3200 N Dobson Rd Ste F-2, Chandler, AZ 85224-9611 | 2019-09-17 |
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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.