Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesis Physical Therapy

Organization Physical Therapist · NPI 1912001579

Genesis Physical Therapy provides Physical Therapist services in Jackson, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1777 Ellis Ave Ste B
Jackson, MS 39204-3616
Phone: (601) 372-1499
Fax: (601) 372-9862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1912001579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chassiety Grant — Clinic Admin · (601) 372-1499
NPI enumeratedSeptember 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1777 Ellis Ave, Suite B, Jackson, MS 39204-3616

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