BLUE HEN PHYSICAL THERAPY, INC. (NPI# 1104861913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861913 |
| Entity Type | Organization |
| Organization Name | BLUE HEN PHYSICAL THERAPY, INC. |
| Other Organization Name | NOVACARE REHABILITATION |
| Practice Address |
425 New London Rd Newark DE 19711-7009 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 3024531588 |
| Practice Fax Number | 3024539705 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Novacare Rehabilitation | Doing Business As Name - Organization |
| Street Address |
425 NEW LONDON RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679696025 | Grafton Medical Center,pc | Clinic/Center | 56 Grafton Ave., Newark, NJ 07104-0619 | 2007-04-09 |
| 1992750889 | H2 Rehabilitation Services of Ohio LLC | Clinic/Center | 67 S Terrace Ave, Newark, OH 43055-1355 | 2006-05-23 |
| 1639646938 | Comunidad Unida Para Rehabilitacion De Adictos | Clinic/Center | 61 Lincoln Park, Newark, NJ 07102-2390 | 2018-10-25 |
| 1184191488 | Comunidad Unida Para Rehabilitacion De Adictos | Clinic/Center | 61 Lincoln Park, Newark, NJ 07102-2390 | 2018-10-25 |
| 1508171414 | Mx Physical Therapy, Inc. | Clinic/Center | 620 Stanton Christiana Rd, Suite 101, Newark, DE 19713-2133 | 2010-08-16 |
| 1316026081 | Physiotherapy Associates Inc | Clinic/Center | 1 Centurian Dr, Suite 110, Newark, DE 19713-2137 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
| 1992037394 | Mx Physical Therapy, Inc. | Clinic/Center | 609 Governor Sq, Bear, DE 19701-3034 | 2010-02-10 |
| 1770660250 | Physiotherapy Associates Inc | Clinic/Center | 2401 Pennsylvania Avenue, Suite 111, Wilmington, DE 19806-1432 | 2006-11-01 |
| 1942287578 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 715 E King St, Seaford, DE 19973-3505 | 2005-12-23 |
| 1912569153 | Rehabilitation Consultants, Inc. | Clinic/Center | 2 Lee Ave Unit 103, Georgetown, DE 19947-2149 | 2019-07-08 |
| 1700155637 | Rehabilitation Consultants, Inc | Clinic/Center | 3411 Silverside Rd, Springer Building Suite 105, Wilmington, DE 19810-4812 | 2011-12-21 |
| 1336443399 | Physiotherapy Associates Inc | Clinic/Center | 256 Fox Hunt Dr, Bear, DE 19701-2536 | 2011-01-06 |
| 1447582846 | Mx Physical Therapy, Inc. | Clinic/Center | 19266 Coastal Hwy, Rehoboth Beach, DE 19971-6117 | 2010-02-10 |
| 1205096914 | Mx Physical Therapy, Inc. | Clinic/Center | 1600 N Washington St, Wilmington, DE 19802-4722 | 2008-06-16 |
| 1861550162 | Rehabilitation Consultants, Inc. | Clinic/Center | 3411 Silverside Road, Suite 105, Wilmington, DE 19810-4806 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.