Provider Demographics
NPI:1467924142
Name:GENESIS REHAB CONSULTANTS PLLC
Entity Type:Organization
Organization Name:GENESIS REHAB CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANUSHKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-778-4041
Mailing Address - Street 1:7501 E MCDOWELL RD APT 1019
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3553
Mailing Address - Country:US
Mailing Address - Phone:330-778-4041
Mailing Address - Fax:
Practice Address - Street 1:5652 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4713
Practice Address - Country:US
Practice Address - Phone:330-701-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty