OrganizationActive
Genesis Rehab Services
NPI 1376988717 · Occupational Therapy Assistant · Fernandina Beach, FL
Provider details
- NPI number
- 1376988717
- Entity type
- Organization
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Genesis
- Organization subpart
- Yes
- Authorized official
- Mary Mathe, Cota(904) 310-9411
- License
- OTA11456 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
552 Spanish Way W
Fernandina Beach, FL 32034-9244
Phone: (904) 310-9411
Street-level locationGet directions
Mailing address
552 Spanish Way W
Fernandina Beach, FL 32034-9244
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2013-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.