NPIMap

Organization Active NPI

Novacare Rehabilitation

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1063489276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30136 Issued in CA
Legal business name
NOVACARE REHABILITATION
Practice address
6335 N Fresno St
Suite 108
Fresno, CA 93710-5272
Phone
(559) 435-6735
Fax
(559) 435-5793
NPI assigned
Mar 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Melissa S Olson, M.P.T.
Title
Physical Therapist
Phone
(559) 435-6735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30136 CA Primary

Addresses

Primary practice location

6335 N Fresno St
Suite 108
Fresno, CA 93710-5272

Mailing address

6335 N Fresno St
Suite 108
Fresno, CA 93710-5272
Phone (559) 435-6735

National Provider Directory

National Provider Directory
Tax ID family
Vibrantcare Outpatient Rehabilitation Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063489276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 N FRESNO ST",
            "address_2": "SUITE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105272",
            "telephone_number": "559-435-6735",
            "fax_number": "559-435-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 N FRESNO ST",
            "address_2": "SUITE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105272",
            "telephone_number": "559-435-6735",
            "fax_number": "559-435-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "559-435-6735",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

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.