Genesis Physical Therapy, LLC
Genesis Physical Therapy, LLC is a healthcare organization registered as Comprehensive Outpatient Rehabilitation Facility (CORF) in Mesa, AZ, holding Type 2 (organization) NPI 1528138393 since 2006. The authorized official on file is N. Anderson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528138393 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Physical Therapy, LLC |
| Other name | <Unavail> |
| Practice address | 6343 E MAIN ST, SUITE 8, Mesa, AZ, 85205 |
| Phone | 4803258838 |
| Fax | 4803259191 |
| Enumeration date | 2006-11-09 |
| Last updated in NPPES | 2009-10-20 |
Authorized official
| Name | N. Anderson |
|---|---|
| Title | President |
| Phone | 4803258838 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | Primary | OTC4110 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698269 | Medicaid | AZ | — |
| 200152 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Genesis Physical Therapy, LLC NPI: 1528138393 Taxonomy: 261QR0401X (Comprehensive Outpatient Rehabilitation Facility (CORF)) Address: 6343 E MAIN ST, SUITE 8, Mesa, AZ, 85205
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932183894 | Danny Nielson | Individual | Chiropractor | Mesa, AZ |
| 1053368589 | Mesa Health Improvement Center, LLC | Organization | Physical Therapist | Mesa, AZ |
| 1346437308 | Mesa Health Improvement Center | Organization | Comprehensive Outpatient Rehabilitation Facility (CORF) | Mesa, AZ |
| 1255591806 | Healthcare Dme | Organization | Durable Medical Equipment & Medical Supplies | Mesa, AZ |
| 1205166055 | Joseph Poloni | Individual | Physical Therapist | Mesa, AZ |
| 1396026100 | Lynn Ingalls | Individual | Orthopedic Physical Therapist | Mesa, AZ |
Verify this record
Cross-check NPI 1528138393 against the authoritative CMS record: view Genesis Physical Therapy, 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
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-10-20.