# GENESIS PHYSICAL THERAPY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386896397
- **Authorized official:** MICHAEL ABORISADE RPT (PRESIDENT/CEO)
- **Authorized official phone:** (718) 415-3947

## Contact information

- **Practice address:** 14622 222ND ST, SPRINGFIELD GARDENS, NY 11413-3835
- **Practice address phone:** (718) 415-3947
- **Practice address fax:** (718) 949-4243
- **Mailing address:** 14622 222ND ST, SPRINGFIELD GARDENS, NY 11413-3835
- **Mailing address phone:** (718) 415-3947
- **Mailing address fax:** (718) 949-4243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | O22008 | NY | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/21/2008