Genesis

Skilled Nursing Facility · Tampa, FL

Organization Active NPI

NPI number 1619377405

Practice location

518 W Fletcher Ave
Tampa, FL 33612-3419
Phone
(813) 265-1600

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NPI record

NPI
1619377405
Entity type
Organization (Type 2)
Enumeration date
August 28, 2014
Last updated
August 28, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X PT24363 FL

Authorized official

Name
Michelle Pahl, DPT
Title
Physical Therapist
Phone
(954) 257-9379

About Genesis

Genesis is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 518 W Fletcher Ave, Tampa, FL 33612-3419. The NPI number 1619377405 was assigned on August 28, 2014 and the record was last updated on August 28, 2014.

Genesis lists a license in the registry: #PT24363 (FL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Michelle Pahl, DPT, Physical Therapist.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1619377405.

What is the phone number of Genesis?

The phone number listed for the practice location is (813) 265-1600.

Where is Genesis located?

518 W Fletcher Ave, Tampa, FL 33612-3419.

What is the taxonomy code for Genesis?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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