NPIMap

Organization Active NPI

Novacare Outpatient Rehabilitation

  • Physical Therapy Clinic/Center
  • Towson, MD
National Provider Identifier
1619973609
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NOVACARE OUTPATIENT REHABILITATION
Doing business as
NovaCare Outpatient Rehabilitation
Practice address
6565 N Charles St
Ste 514
Towson, MD 21204-6800
Phone
(410) 828-0600
Fax
(410) 828-5099
NPI assigned
Jun 23, 2005
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Michael E. Tarvin
Title
Director of Regulatory Affairs
Phone
(717) 975-4503

Specialties & licenses 1

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

Addresses

Primary practice location

6565 N Charles St
Ste 514
Towson, MD 21204-6800

Mailing address

4716 Old Gettysburg Rd.
Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 975-4503

Other names 1

  • NovaCare Outpatient Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Novacare Outpatient Reh50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

Locations

6565 N Charles St
Ste 514
Towson, MD 21204
Phone (410) 828-0600

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1619973609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 OLD GETTYSBURG RD.",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-4503",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "STE 514",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "410-828-0600",
            "fax_number": "410-828-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE OUTPATIENT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "717-975-4503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Outpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.