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Genesis Bodywork LLC

Genesis Bodywork LLC is a healthcare organization registered as Physical Therapy Clinic/Center in St Augustine, FL, holding Type 2 (organization) NPI 1457485344 since 2007. The authorized official on file is Tammy Lagasse, Owner.

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NPI 1457485344
Entity type Organization (Type 2)
Legal business name Genesis Bodywork LLC
Practice address 4075 A1A S, SUITE 105, St Augustine, FL, 32080
Phone 9044712999
Fax 9044711722
Enumeration date 2007-03-15
Last updated in NPPES 2012-02-02

Authorized official

Name Tammy Lagasse
Title Owner
Phone 9044712999

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP2000X Physical Therapy Clinic/Center Primary
Copy-ready billing details
Provider: Genesis Bodywork LLC
NPI: 1457485344
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 4075 A1A S, SUITE 105, St Augustine, FL, 32080

Providers at this address

NPI Name Type Specialty Location
1245283423 Seaside Family Pharmacy LLC Organization Community/Retail Pharmacy St Augustine, FL
1932233848 Tammy Lagasse Individual Physical Therapy Assistant St Augustine, FL
1326258765 Nancy Kysela Individual Physical Therapist St Augustine, FL

Verify this record

Cross-check NPI 1457485344 against the authoritative CMS record: view Genesis Bodywork LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Genesis Bodywork LLC located?
The practice location on file with NPPES is in St Augustine, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-02-02. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-02-02.