Active NPI
Rehab Missouri, LLC.
Doing business as Novacare Rehabilitation
- Rehabilitation Clinic/Center
- Fairview Heights, IL
National Provider Identifier
1861437261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- REHAB MISSOURI, LLC.
- Doing business as
- Novacare Rehabilitation
- Practice address
- 525 Lincoln Hwy
Suite 28 & 29
Fairview Heights, IL 62208-2142 - Phone
- (618) 622-5180
- Fax
- (618) 622-5169
- NPI assigned
- Jun 19, 2006
- Last updated
- Nov 20, 2018
- 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
- Michael E. Tarvin
- Title
- Vice President and Secretary
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
525 Lincoln Hwy
Suite 28 & 29
Fairview Heights, IL 62208-2142
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names 1
- Novacare Rehabilitation
National Provider Directory
National Provider DirectoryLocations
525 Lincoln Hwy
Ste 28
Fairview Heights, IL 62208
Phone (618) 622-5180
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.
-
- Physical Therapist
- Fairview Heights, IL
- NPI 1366570947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542672000000",
"number": "1861437261",
"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": "525 LINCOLN HWY",
"address_2": "SUITE 28 & 29",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082142",
"telephone_number": "618-622-5180",
"fax_number": "618-622-5169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB MISSOURI, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2018-11-20",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"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"
},
{
"organization_name": "Novacare Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.