NPIMap

Organization Active NPI

Select Medical

Doing business as NovaCare

  • Physical Therapy Clinic/Center
  • Wyoming, MI
National Provider Identifier
1760652697
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SELECT MEDICAL
Doing business as
NovaCare
Practice address
1535 44TH St SW
Wyoming, MI 49509-4481
Phone
(616) 530-1977
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Miss Angela Miedzielec, ATC
Title
Cetified Athletic Trainer
Phone
(616) 776-5483

Specialties & licenses 1

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

Addresses

Primary practice location

1535 44TH St SW
Wyoming, MI 49509-4481

Mailing address

1535 44TH St SW
Wyoming, MI 49509-4481
Phone (616) 530-1977

Other names 1

  • NovaCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NFSG Veterans Health System107 organizations share this tax ID, including this one

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1760652697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094481",
            "telephone_number": "616-530-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094481",
            "telephone_number": "616-530-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MIEDZIELEC",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CETIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "616-776-5483",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.