NOVACARE OUTPATIENT REHABILITATION EAST INC (NPI# 1609872522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609872522 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST INC |
| Other Organization Name | NOVACARE REHABILITATION |
| Practice Address |
21395 John Milless Dr Rogers MN 55374-4402 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7634282589 |
| Practice Fax Number | 7634284672 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NovaCare Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1750548970 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1105 Elizabeth Ave, Laureldale, PA 19605-2632 | 2008-05-16 |
| 1417128695 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 600 County Rd 75, Clearwater, MN 55320 | 2008-03-17 |
| 1063620672 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 8290 University Avenue Nw, Suite 300, Fridley, MN 55432 | 2007-05-18 |
| 1396747911 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | Tipton Medical and Diagnostic Center, Building II, Route 220, Tipton, PA 16684 | 2005-08-12 |
| 1770582660 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 5 S 3rd St, Clearfield, PA 16830-2324 | 2005-07-21 |
| 1629077599 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 50 E Wylie Ave, Washington, PA 15301-2002 | 2005-07-21 |
| 1073512968 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 78 Second Avenue, Collegeville, PA 19426 | 2005-07-21 |
| 1235138124 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 412 Huntingdon Pike, Rockledge, PA 19046-4448 | 2005-07-21 |
| 1144229030 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1717 East 38th Street, Erie, PA 16504-2920 | 2005-07-21 |
| Street Address |
21395 JOHN MILLESS DR |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075865 | Katelyn O'keefe | Occupational Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374 | 2016-03-08 |
| 1497124929 | Ariel Schibilla | Family Medicine | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2015-09-15 |
| 1184069304 | Kristina Kay Thissen | Physician Assistant | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2013-05-01 |
| 1891934188 | Jeffrey Kent Sletten | Physical Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374-4402 | 2009-02-11 |
| 1073699823 | Northwest Eye Clinic, P.a. | Ophthalmology | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2006-10-27 |
| 1558443168 | Distinctive Eyewear | Technician/Technologist | 21395 John Milless Dr, Suite 200, Rogers, MN 55374-4402 | 2006-10-20 |
| 1598712820 | Chandra Shirley | Physical Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374-4402 | 2006-05-30 |
| 1447229786 | David Allen Everson | Physical Therapist | 21395 John Milless Dr, Rogers, MN 55374-4402 | 2006-03-17 |
| 1912975954 | Ann M Murphy | Physical Therapist | 21395 John Milless Dr, Suite 600, Rogers, MN 55374-4402 | 2006-03-08 |
| 1205802576 | Luann K Lerud | Physical Therapist | 21395 John Milless Dr, Rogers, MN 55374-4406 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679617427 | Post 0218, Plc | Clinic/Center | 1113 E Walnut St, Rogers, AR 72756-0634 | 2007-02-16 |
| 1194362087 | Darin Bell,otr, Pllc | Clinic/Center | 3612 W Southern Hills Blvd Ste 6, Rogers, AR 72758-8231 | 2019-12-10 |
| 1295372282 | Brian Kent Dpt Pllc | Clinic/Center | 3612 W Southern Hills Blvd Ste 6, Rogers, AR 72758-8231 | 2019-12-09 |
| 1225670250 | Specialized Physical Therapy of Nwa LLC | Clinic/Center | 5001 W Pauline Whitaker Pkwy Ste 120, Rogers, AR 72758-7341 | 2019-10-10 |
| 1588128011 | Thomas Awine Akurugo | Clinic/Center | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2019-01-29 |
| 1124532056 | Pinnacle Women's Health and Therapy, LLC. | Clinic/Center | 3625 W Chestnut St, Rogers, AR 72756-0351 | 2017-11-30 |
| 1689079899 | Serc Rehabilitation Partners LLC | Clinic/Center | 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-8514 | 2014-10-30 |
| 1720419930 | Gates Therapy Group, Inc. | Clinic/Center | 3625 W Chestnut St, Rogers, AR 72756-0351 | 2013-12-13 |
| 1720395676 | Stephen A. Joseph, P.t. P.a. | Clinic/Center | 5430 Pinnacle Point Dr, Suite 103, Rogers, AR 72758-1492 | 2010-09-13 |
| 1326289422 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 20600 S Diamond Lake Rd, Rogers, MN 55374-4515 | 2009-03-19 |
| Find all providers in ROGERS | ||||
Please comment or provide details below to improve the information on NOVACARE OUTPATIENT REHABILITATION EAST INC.
| 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.