OrganizationActive
Genesis
NPI 1306250675 · Physical Disabilities Residential Treatment Facility · Broken Arrow, OK
Provider details
- NPI number
- 1306250675
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joella Escoe, Occupational Therapy(918) 851-0737
- License
- 280 (OK)
Specialties & taxonomies
Residential Treatment Facilities
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense OA280 (OK)
Residential Treatment Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
17110 E 51st St
Broken Arrow, OK 74012-9279
Phone: (918) 851-0737
Approximate (ZIP-level) locationGet directions
Mailing address
17110 E 51st Street
Broken, OK 74012
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2014-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.