NPIMap

Organization Active NPI

Eagle Rehab Corporation

Doing business as Novacare Rehabilitation

  • Rehabilitation Clinic/Center
  • Fort Washington, MD
National Provider Identifier
1679541809
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EAGLE REHAB CORPORATION
Doing business as
Novacare Rehabilitation
Practice address
10905 Ft Washington Rd
Ste 101
Ft Washington, MD 20744
Phone
(301) 292-5100
Fax
(301) 292-2847
NPI assigned
Mar 14, 2006
Reactivated
Jan 14, 2008
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MD
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

10905 Ft Washington Rd
Ste 101
Ft Washington, MD 20744

Mailing address

4714 Gettysburg Rd
Legal DPT
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
O20040510000231 MD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5395653695 Practice locations: Ft Washington, MD

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Eagle Rehab Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dignity Health Rehabilitation HospitalHenderson, NV, CCN 293035 Hospital 5% Or Greater Indirect Ownership Interest (100%) May 13, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1679541809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 FT WASHINGTON RD",
            "address_2": "STE 101",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "20744",
            "telephone_number": "301-292-5100",
            "fax_number": "301-292-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE REHAB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "deactivation_date": "2007-12-07",
        "reactivation_date": "2008-01-14",
        "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": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.