Organization Active NPI

Novacare Rehabilitation

Doing business as S.T.A.R.T. Inc. dba NovaCare Rehabilitation

  • Occupational Therapist
  • Springfield, MA
National Provider Identifier
1639165806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8681 Issued in MA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0704962MedicaidMA

Other names 1

  • S.T.A.R.T. Inc. dba NovaCare Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MKJ Physical Therapy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

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.

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.

Verify at the official NPI Registry.