NPIMap

Organization Active NPI

Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1003010646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT009919E Issued in PA
Legal business name
NOVACARE REHABILITATION
Practice address
511 N Broad St
Philadelphia, PA 19123-3230
Phone
(215) 923-8269
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Billheimer
Title
Contract Coordinator
Phone
(610) 992-7224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT009919E PA Primary

Addresses

Primary practice location

511 N Broad St
Philadelphia, PA 19123-3230

Mailing address

4812 N 5TH St
Philadelphia, PA 19120-4125
Phone (215) 324-6082

National Provider Directory

National Provider Directory
Tax ID family
Rci SPT NE47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003010646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204125",
            "telephone_number": "215-324-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233230",
            "telephone_number": "215-923-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILLHEIMER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CONTRACT COORDINATOR",
        "authorized_official_telephone_number": "610-992-7224"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT009919E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.