OrganizationActive
Genesis Physical Therapy & Wellness Center, L.L.C.
NPI 1215008990 · Physical Medicine & Rehabilitation Physician · Springfield, OH
Provider details
- NPI number
- 1215008990
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randal Richardson, Owner(937) 323-8000
- License
- PT006483 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4230 E. National Road (rear)
Springfield, OH 45505-1714
Phone: (937) 323-8000
Fax: (937) 323-6960
Street-level locationGet directions
Mailing address
4230 E. National Road (rear)
Springfield, OH 45505-1714
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2008-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.