Organization
GENESIS THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAKESPEARE NGO PHYSICAL THERAPIST (PRESIDENT)
(917) 724-1018
Entity
Organization
Contact information
Practice address
6402 DEWEY AVE APT 13, WEST NEW YORK, NJ 07093-3090
(917) 724-1018
Mailing address
6402 DEWEY AVE APT 13, WEST NEW YORK, NJ 07093-3090
(917) 724-1018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0008162
FL
225100000X
Physical Therapist
01578F
LA
225100000X
Physical Therapist
Primary
017925-1
NY
225100000X
Physical Therapist
5004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017925-1
NYS PT LICENSE NUMBER
NY
01
—
395780
NYS EI DOH ID NUMBER
NY
Enumeration date
01/09/2018
Last updated
06/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up