NPIMap

Organization Active NPI

Novacare Rehabilitation of Ohio, Inc.

Doing business as NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Lakewood, OH
National Provider Identifier
1831799717
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NOVACARE REHABILITATION OF OHIO, INC.
Doing business as
NovaCare Rehabilitation
Practice address
14725 Detroit Ave Ste 201
Lakewood, OH 44107-4123
Phone
(216) 278-0650
Fax
(216) 278-0651
NPI assigned
Oct 29, 2020
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

14725 Detroit Ave Ste 201
Lakewood, OH 44107-4123

Mailing address

4714 Gettysburg Rd
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 OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030410000003 OH Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345159315 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, OH; Willoughby Hills, OH; Westlake, OH; Stow, OH; Solon, OH; Sheffield Village, OH; Middleburg Heights, OH; Mentor, OH…
O20130523000206 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345159315 Receives reassigned benefits from 62 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Broadview Heights, OH; Canton, OH; Hartville, OH; Louisville, OH; Niles, OH; North Canton, OH; Oberlin, OH; Youngstown, OH

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1831799717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 DETROIT AVE STE 201",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074123",
            "telephone_number": "216-278-0650",
            "fax_number": "216-278-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE REHABILITATION OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.