NOVACARE OUTPATIENT REHABILITATION EAST, INC. (NPI# 1982246013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982246013 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST, INC. |
| Practice Address |
10091 Dogwood St Nw Coon Rapids MN 55448-5273 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7634500298 |
| Practice Fax Number | 7634500301 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | NOVACARE OUTPATIENT REHABILITATION EAST, INC. | 1016 W 9th Ave, King of Prussia, PA 19406 |
| Street Address |
10091 DOGWOOD ST NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962710640 | Shari A Johnson | Physical Therapist | 10091 Dogwood St Nw, Coon Rapids, MN 55448-5273 | 2010-09-16 |
| 1689142929 | Timothy Erickson | Physical Therapist | 10091 Dogwood St Nw, Coon Rapids, MN 55448-5273 | 2018-11-05 |
| 1922544162 | Andrea Vivian | Physical Therapist | 10091 Dogwood St Nw, Coon Rapids, MN 55448-5273 | 2017-01-11 |
| 1477981397 | Kimberly Mitlyng | Marriage & Family Therapist | 10091 Dogwood St Nw, Suite 110, Coon Rapids, MN 55448-5273 | 2013-11-01 |
| 1174961197 | Kristin K Kuehl | Physical Therapist | 10091 Dogwood St Nw, Coon Rapids, MN 55448-5273 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024756 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 311, Coon Rapids, MN 55433-2598 | 2019-10-11 |
| 1700085503 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2104 Northdale Blvd Nw, Suite 100, Coon Rapids, MN 55433-3028 | 2007-07-12 |
| 1760693154 | Bryant R. Beehler, D.o., Ltd. | Clinic/Center | 3863 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2007-05-25 |
| 1215919949 | Thomas Rest Haven | Clinic/Center | 217 Main St, Coon Rapids, IA 50058-1605 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084402 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 16366 County Road 30, Maple Grove, MN 55311-1207 | 2019-10-10 |
| 1427576727 | Ne Community Acupuncture & Wellness Center LLC | Clinic/Center | 1224 2nd St Ne # 200, Minneapolis, MN 55413-1130 | 2017-09-07 |
| 1326589714 | Cognitive Ventures Vadnais Heights LLC | Clinic/Center | 3555 Willow Lake Blvd Ste 180, Vadnais Heights, MN 55110-4462 | 2017-03-17 |
| 1265791503 | Dynamic Connections, Inc. | Clinic/Center | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2012-05-07 |
| 1063786689 | River Restorative Therapies LLC | Clinic/Center | 14166 Quince St Nw, Andover, MN 55304-4137 | 2012-02-29 |
| 1013244110 | Muellers Sensory Works LLC | Clinic/Center | 2132 Hoffman Rd, Mankato, MN 56001-5863 | 2009-11-10 |
| 1982842936 | Open Hands Health Services LLC | Clinic/Center | 730 S Benton Dr, Sauk Rapids, MN 56379-1274 | 2009-01-29 |
| 1154577906 | Healthy Returns of Minnesota Inc | Clinic/Center | 20836 Glacier Dr, Park Rapids, MN 56470-5275 | 2008-08-12 |
| 1992986194 | Body Whispers Therapy LLC | Clinic/Center | 3220 Rice St, Saint Paul, MN 55126-3047 | 2007-11-16 |
| 1477640613 | Functional Integrated Therapy, Ltd | Clinic/Center | 2495 Maplewood Drive, Suite 313, Maplewood, MN 55109-1913 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
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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.