GENESIS REHAB
NPI 1790062594
Clinic/Center - Physical Therapy in Saint John, IN

Active since November 08, 2011
9430 WICKER AVE, 1534 119TH STREET, SAINT JOHN, IN 46373(219) 655-5285(219) 655-5472 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS REHAB (NPI 1790062594) is a healthcare organization registered as a physical therapy in Saint John, Indiana and active in the NPI registry since November 2011. The organization lists Charru Malik, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1790062594
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGENESIS REHAB SERVICES LLC
Location Address9430 WICKER AVE, 1534 119TH STREETSaint John, IN 46373-9768
Mailing Address9430 Wicker AveSaint John, IN 46373-9768 · (219) 616-5727
Fax(219) 655-5472
Organization SubpartNo
Authorized OfficialCharru MalikSole Mbr · (219) 616-5727
Enumeration DateNovember 8, 2011
Last NPPES UpdateMay 4, 2017
✔ NPI 1790062594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
9430 WICKER AVE, Saint John, IN 46373

Other Names 1

Doing Business AsGenesis Rehab

Other Identifiers 1

Medicare PINM100076337IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Rehab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Genesis Rehab, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1528341567
9430 WICKER AVE
Saint John, IN 46373
(219) 616-6475
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1982622239
7905 CALUMET AVE
Munster, IN 46321
(219) 836-3296
✔ Accepts Medicare8.7 mi
Physical Therapist in Private Practice
NPI 1639263155
1534 119TH ST
Whiting, IN 46394
(219) 655-5285
✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Rehab Services LLC's NPI number?

The NPI number for Genesis Rehab Services LLC is 1790062594. It was assigned to this organization in the NPPES registry on November 8, 2011. The provider is doing business as Genesis Rehab.

Where is Genesis Rehab Services LLC located?

Genesis Rehab Services LLC is located at 9430 Wicker Ave 1534 119th Street, Saint John, IN 46373. The listed phone number is (219) 655-5285.

What is Genesis Rehab Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Genesis Rehab Services LLC enrolled in Medicare?

Yes. Genesis Rehab Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Rehab Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Genesis Rehab Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesis Rehab Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Cigna Healthcare list Genesis Rehab Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Rehab Services LLC was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.