NPIMap

Organization Active NPI

Blue Hen Physical Therapy, Inc.

Doing business as Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Newark, DE
National Provider Identifier
1104861913
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BLUE HEN PHYSICAL THERAPY, INC.
Doing business as
Novacare Rehabilitation
Practice address
425 New London Rd
Newark, DE 19711-7009
Phone
(302) 453-1588
Fax
(302) 453-9705
NPI assigned
Jun 17, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Mr. John F Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

425 New London Rd
Newark, DE 19711-7009

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

  • Novacare Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030529000051 DE Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0446160790 Practice locations: Newark, DE
O20200917002042 DE Part B Supplier - Clinic/Group Practice 0446160790 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Newark, DE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104861913. Details of each certification follow.

  • CCN 086511 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 086511

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BLUE HEN PHYSICAL THERAPY, INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jun 17, 1986
Last certification
Jun 4, 2014
Ownership / control type
Proprietary
Facility address
425 New London Road
Newark, DE 19711

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1501 Casho Mill Rd
Ste 6
Newark, DE 19711
Phone (302) 453-1588

320 Grove Ln
Newark, DE 19711
Phone (302) 565-2244

407 New London Rd
Ste 425
Newark, DE 19711

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1104861913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NEW LONDON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117009",
            "telephone_number": "302-453-1588",
            "fax_number": "302-453-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.