NPIMap

Organization Active NPI

Douglas Avery & Associates LTD

Doing business as NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Leonardtown, MD
National Provider Identifier
1619972544
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DOUGLAS AVERY & ASSOCIATES LTD
Doing business as
NovaCare Rehabilitation
Practice address
23000 Moakley St
Ste 101
Leonardtown, MD 20650-2916
Phone
(301) 475-5830
Fax
(301) 475-6507
NPI assigned
Jun 16, 2005
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

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

Addresses

Primary practice location

23000 Moakley St
Ste 101
Leonardtown, MD 20650-2916

Mailing address

4714 Gettysburg Rd
Legal Department
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 MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615000328 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971412818 Practice locations: Leonardtown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619972544. Details of each certification follow.

  • CCN 216603 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 216603

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
NOVACARE REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 13, 1995
Last certification
Apr 8, 2025
Ownership / control type
Proprietary
Facility address
23000 Moakley Street, Suite 101
Leonardtown, MD 20650

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Douglas Avery Associates LTD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1619972544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST",
            "address_2": "STE 101",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502916",
            "telephone_number": "301-475-5830",
            "fax_number": "301-475-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS AVERY & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.