NPIMap

Organization Active NPI

Physiotherapy Associates, Inc.

Doing business as NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Walled Lake, MI
National Provider Identifier
1891890596
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHYSIOTHERAPY ASSOCIATES, INC.
Doing business as
NovaCare Rehabilitation
Practice address
55 N Pond Dr
Suite 4
Walled Lake, MI 48390-3080
Phone
(248) 668-9355
Fax
(248) 668-9351
NPI assigned
Sep 14, 2006
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 NU
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

55 N Pond Dr
Suite 4
Walled Lake, MI 48390-3080

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other practice location 1

17000 Executive Plaza Dr Ste 105
Dearborn, MI 48126-2793
Phone (313) 982-9320

Other names 1

  • NovaCare Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031007000059 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3577470442 5 other NPIs on this enrollment
Practice locations: Canton, MI; Walled Lake, MI
O20170802002305 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577470442 Receives reassigned benefits from 30 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haslett, MI; Rockford, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891890596. Details of each certification follow.

  • CCN 236629 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236629

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NOVACARE REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 23, 1993
Last certification
Dec 5, 2025
Ownership / control type
Proprietary
Facility address
55 North Pond Dr, Suite 4
Walled Lake, MI 48390

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory

Locations

17000 Executive Plaza Dr
Ste 105
Dearborn, MI 48126
Phone (313) 982-9320

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Ohiohealth Rehabilitation HospitalColumbus, OH, CCN 363037 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2023
Dignity Health Rehabilitation HospitalHenderson, NV, CCN 293035 Hospital 5% Or Greater Indirect Ownership Interest (19.5%) May 13, 2019
Rush Specialty Hospital LLCChicago, IL, CCN 142015 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2024
Rush Specialty Hospital LLCChicago, IL, CCN 14TA15 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2024

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1891890596",
    "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": "55 N POND DR",
            "address_2": "SUITE 4",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903080",
            "telephone_number": "248-668-9355",
            "fax_number": "248-668-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17000 Executive Plaza Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262793",
            "country_code": "US",
            "telephone_number": "313-982-9320",
            "fax_number": "313-982-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walled Lake, MI

Sources for this page

Verify at the official NPI Registry.