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Genesis Rehab Services LLC

Physical Therapy Clinic/Center in Saint John, IN · enumerated 2011 · authorized official Charru Malik, Sole Mbr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790062594

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Rehab Services LLC
Other name <Unavail>
Practice address 9430 Wicker Ave, 1534 119th Street, Saint John, IN, 46373
Phone (219) 655-5285
Fax (219) 655-5472
Enumeration date Nov 8, 2011
Last updated in NPPES May 4, 2017

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Charru Malik
Title Sole Mbr
Phone (219) 616-5727

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.

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Frequently asked questions

What is the NPI number for Genesis Rehab Services LLC?
The NPI for Genesis Rehab Services LLC is 1790062594, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Genesis Rehab Services LLC?
NPPES lists Charru Malik (Sole Mbr) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-04.