Active NPI
Novacare Outpatient Rehabilitation East Inc
- Physical Therapy Clinic/Center
- Waterford, MI
National Provider Identifier
1821094202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- NOVACARE OUTPATIENT REHABILITATION EAST INC
- Practice address
- 1255 N Oakland Blvd
Ste 145
Waterford, MI 48327-1578 - Phone
- (248) 666-3329
- Fax
- (248) 666-5372
- NPI assigned
- Jun 22, 2005
- 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
- Mr. Michael E. Tarvin
- Title
- Vice President
- Phone
- (717) 975-4503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MI | Primary |
Addresses
Primary practice location
1255 N Oakland Blvd
Ste 145
Waterford, MI 48327-1578
Mailing address
4716 Old Gettysburg Rd.
Legal Deapartment
Mechanicsburg, PA 17055-4325
Phone (717) 975-4503
Other names 1
- NovaCare Rehabilitation
National Provider Directory
National Provider DirectoryLocations
1255 N Oakland Blvd
Ste 145
Waterford, MI 48327
Phone (248) 666-3329
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Waterford, MI
- NPI 1013985209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1821094202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 OLD GETTYSBURG RD.",
"address_2": "LEGAL DEAPARTMENT",
"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": "1255 N OAKLAND BLVD",
"address_2": "STE 145",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271578",
"telephone_number": "248-666-3329",
"fax_number": "248-666-5372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVACARE OUTPATIENT REHABILITATION EAST INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-975-4503",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NovaCare Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.