Organization Active NPI

U.S. Occmed Wisconsin SC

Doing business as Nova Medical Centers

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1588236764
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
U.S. OCCMED WISCONSIN SC
Doing business as
Nova Medical Centers
Practice address
4868 S 6TH St Ste 460
Milwaukee, WI 53221-2462
Phone
(414) 260-8282
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Dean Shoucair, DO
Title
President
Phone
(713) 880-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4868 S 6TH St Ste 460
Milwaukee, WI 53221-2462

Mailing address

2425 Fountain View Dr Ste 160
Houston, TX 77057-4834
Phone (713) 880-4400

Other names 1

  • NOVA MEDICAL CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Medical Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1588236764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574834",
            "telephone_number": "713-880-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 S 6TH ST STE 460",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212462",
            "telephone_number": "414-260-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. OCCMED WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SHOUCAIR",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-880-4400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA MEDICAL CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.