NOVACARE OUTPATIENT REHABILITATION EAST, INC. (NPI# 1174120448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174120448 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST, INC. |
| Practice Address |
14953 Kutztown Rd Ste 1 Kutztown PA 19530-8381 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7179721100 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1760024756 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 311, Coon Rapids, MN 55433-2598 | 2019-10-11 |
| 1366084402 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 16366 County Road 30, Maple Grove, MN 55311-1207 | 2019-10-10 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1497367551 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 2733 Papermill Rd, Wyomissing, PA 19610-3339 | 2020-08-20 |
| 1215556998 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1385 Phalen Boulevard, St. Paul, MN 55106 | 2020-04-13 |
| 1114559499 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2020-02-05 |
| 1720620867 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 6605 Nicollet Ave, Richfield, MN 55423-2463 | 2019-10-10 |
| Street Address |
14953 KUTZTOWN RD STE 1 |
| City | KUTZTOWN |
| State | PA |
| Zip Code | 19530-8381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324262 | Dominika Foltyn | Pharmacist | 15260-2 Kutztown Road, Kutztown, PA 19530 | 2018-11-08 |
| 1104183839 | Rocky Mountain Holdings LLC | Ambulance | 15130 Kutztown Rd, Kutztown, PA 19530 | 2012-04-19 |
| 1871744672 | Kelly Mae Stump | Occupational Therapist | 120 Trexler Avenue, Kutztown Manor, Kutztown, PA 19530 | 2008-10-10 |
| 1508050808 | Gwendolyn Buchanan | Physical Therapist | 1181 Long Lane Rd, Kutztown, PA 19530 | 2007-08-29 |
| 1891833091 | Brandon Nolt | Specialist/Technologist | Keystone Hall Room 120, Kutztown University, Kutztown, PA 19530 | 2007-02-01 |
| 1558444356 | Renard Michael Sacco | Specialist/Technologist | Kutztown University, Keystone Hall, Sports Medicine Office, Rm 120, Kutztown, PA 19530 | 2006-10-23 |
| 1629550082 | Dillon Michael Simmons | Pharmacist | 23 N Elm St, Kutztown, PA 19530 | 2018-09-02 |
| 1922256585 | Chris Matthew Keller | Dentist | 162a Trexler Ave, Kutztown, PA 19530 | 2008-09-08 |
| 1750417150 | Dennis R Clausen | Chiropractor | 635 Noble St, Kutztown, PA 19530 | 2007-02-27 |
| 1093875445 | Michele W Dugan | Psychologist | 133 East Main St, Kutztown, PA 19530 | 2006-12-08 |
| Find all providers in zip 19530 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1558979328 | Phs Physical Therapy, LLC | Clinic/Center | 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 | 2020-07-17 |
| 1043835705 | Reeves Physical Therapy LLC | Clinic/Center | 509 Spring Garden St, Philadelphia, PA 19123-2820 | 2020-06-09 |
| 1235751264 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 | 2020-05-13 |
| 1770105082 | Institute for Cognitive Prosthetics Inc | Clinic/Center | 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 | 2020-05-08 |
| 1245877430 | Rehabclinics (spt), Inc. | Clinic/Center | 255 Main St Ste 120, King of Prussia, PA 19406-1509 | 2019-12-06 |
| 1457994253 | Phs Physical Therapy, LLC | Clinic/Center | 5815 York Rd, New Oxford, PA 17350-9464 | 2019-10-24 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1902453343 | Rehabclinics (spt), Inc. | Clinic/Center | 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 | 2019-08-21 |
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 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.