Genesis Physical Therapy
Genesis Physical Therapy is a healthcare organization registered as Physical Therapist in Jackson, MS, holding Type 2 (organization) NPI 1912001579 since 2006. The authorized official on file is Chassiety Grant, Clinic Admin.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912001579 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Physical Therapy |
| Practice address | 1777 ELLIS AVE, SUITE B, Jackson, MS, 39204 |
| Phone | 6013721499 |
| Fax | 6013729862 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Chassiety Grant |
|---|---|
| Title | Clinic Admin |
| Phone | 6013721499 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Genesis Physical Therapy NPI: 1912001579 Taxonomy: 225100000X (Physical Therapist) Address: 1777 ELLIS AVE, SUITE B, Jackson, MS, 39204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801820808 | First Intermed Corporation | Organization | Family Medicine Physician | Jackson, MS |
| 1073536785 | Diana Entrekin | Individual | Family Medicine Physician | Jackson, MS |
| 1184047904 | Michael Brasel | Individual | Medical Physician Assistant | Jackson, MS |
| 1821533852 | Mea Primary Care Plus LLC | Organization | Family Medicine Physician | Jackson, MS |
Verify this record
Cross-check NPI 1912001579 against the authoritative CMS record: view Genesis Physical Therapy 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
Who is the authorized official for Genesis Physical Therapy?
What is the NPI number for Genesis Physical Therapy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.