Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Physical Therapy

Organization Physical Therapist · NPI 1912001579

Genesis Physical Therapy is a Physical Therapist 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
Show map & directions

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

Other providers in Jackson