Active NPI
Novacare Rehabilitation
Doing business as S.T.A.R.T. Inc. dba NovaCare Rehabilitation
- Occupational Therapist
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8681
- Legal business name
- NOVACARE REHABILITATION
- Doing business as
- S.T.A.R.T. Inc. dba NovaCare Rehabilitation
- Practice address
- 3550 Main St
Suite 203
Springfield, MA 01107-1089 - Phone
- (413) 733-3939
- Fax
- (413) 733-7602
- NPI assigned
- Sep 23, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chanon E Vallas, O.T.
- Title
- Occupational Therapist
- Phone
- (413) 733-3939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8681 | MA | Primary |
Addresses
Primary practice location
3550 Main St
Suite 203
Springfield, MA 01107-1089
Mailing address
68 Edward Dr
Holyoke, MA 01040-1006
Phone (413) 231-2947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704962 | Medicaid | MA |
Other names 1
- S.T.A.R.T. Inc. dba NovaCare Rehabilitation
National Provider Directory
National Provider Directory- Tax ID family
- MKJ Physical Therapy Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Orleans, MA
- NPI 1518962430
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Dyersville, IA
- NPI 1346838463
-
dba RUSH Physical Therapy
- Physical Therapy Clinic/Center
- Park Ridge, IL
- NPI 1730034349
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1073197018
Locations
3550 Main St
Ste 203
Springfield, MA 01107
Phone (413) 733-3939
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Springfield, MA
- NPI 1841251618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639165806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 EDWARD DR",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401006",
"telephone_number": "413-231-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MAIN ST",
"address_2": "SUITE 203",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071089",
"telephone_number": "413-733-3939",
"fax_number": "413-733-7602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVACARE REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VALLAS",
"authorized_official_first_name": "CHANON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "413-733-3939",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "O.T."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0704962",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "S.T.A.R.T. Inc. dba NovaCare Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MA
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.