Genesis Physical Therapy

LBN: Genesis Physical Therapy
Genesis Physical Therapy is an health care organization with primary practice located at 1777 Ellis Ave Suite B, Jackson MS 39204-3616. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Genesis Physical Therapy can be contacted via phone (601) 372-1499, or through Grant, Chassiety via phone (601) 372-1499.

Contact Information

Primary practice address
1777 Ellis Ave Suite B Jackson MS 39204-3616
Phone: (601) 372-1499
Fax: (601) 372-9862
Website:
Map and Directions
Authorized official contact:
Name: Grant, Chassiety
Phone: (601) 372-1499

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1912001579
LBN Legal business name Genesis Physical Therapy
DBA Doing business as
Authorized official Grant, Chassiety
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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