Provider Demographics
NPI:1609930379
Name:GENERATIONS R.C., INC
Entity Type:Organization
Organization Name:GENERATIONS R.C., INC
Other - Org Name:GENERATIONS PT OF BARBOURSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-634-8353
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WV
Mailing Address - Zip Code:25541-0219
Mailing Address - Country:US
Mailing Address - Phone:304-757-2500
Mailing Address - Fax:606-473-5875
Practice Address - Street 1:3552 US ROUTE 60 E
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1639
Practice Address - Country:US
Practice Address - Phone:304-733-9560
Practice Address - Fax:304-733-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CN7183OtherRAILROAD MEDICARE
WV1707207OtherBLUE CROSS BLUE SHIELD
WV3810000-212Medicaid
WA=========OtherACORDIA
WV1707207OtherBLUE CROSS BLUE SHIELD
WA=========OtherCIGNA
CN7183OtherRAILROAD MEDICARE
WV3810000-212Medicaid