Provider Demographics
NPI:1528022837
Name:NOVACARE REHABILITATION
Entity Type:Organization
Organization Name:NOVACARE REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCENTIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-621-7777
Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-621-7777
Mailing Address - Fax:513-621-8351
Practice Address - Street 1:2060 READING RD
Practice Address - Street 2:SUITE 130
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1454
Practice Address - Country:US
Practice Address - Phone:513-621-7777
Practice Address - Fax:513-621-8351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH715225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty