Organization Active NPI

Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Dayton, OH
National Provider Identifier
1023295201
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
06165 Issued in OH
Legal business name
NOVACARE REHABILITATION
Practice address
301 W 1St St
Ste. 101
Dayton, OH 45402-3033
Phone
(937) 228-9202
Fax
(937) 228-2988
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
John Kellerstrass, PT9128
Title
Market Manager
Phone
(937) 228-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 06165 OH Primary

Addresses

Primary practice location

301 W 1St St
Ste. 101
Dayton, OH 45402-3033

Mailing address

301 W 1St St
Ste. 101
Dayton, OH 45402-3033
Phone (937) 228-9202

National Provider Directory

National Provider Directory

Locations

301 W 1st St
Ste 101
Dayton, OH 45402
Phone (937) 228-9202

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1023295201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 1ST ST",
            "address_2": "STE. 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023033",
            "telephone_number": "937-228-9202",
            "fax_number": "937-228-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 1ST ST",
            "address_2": "STE. 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023033",
            "telephone_number": "937-228-9202",
            "fax_number": "937-228-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "KELLERSTRASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MARKET MANAGER",
        "authorized_official_telephone_number": "937-228-9202",
        "authorized_official_credential": "PT9128"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "06165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.