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NPI Code Detail

MEDICARE: NOVACARE OUTPATIENT REHABILITATION EAST, INC.

MEDICARE: NOVACARE OUTPATIENT REHABILITATION EAST, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1215556998
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVACARE OUTPATIENT REHABILITATION EAST, INC.
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-972-1100
Fax Number :
Provider Business Practice Location Address
First Line : 1387 PHALEN BOULEVARD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2126
Country : US
Telephone Number : 952-388-5520
Fax Number : 952-388-2994
Authorized Official
Title or Position : CHIEF LEGAL OFFICER
Name : JOHN F DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 04/13/2020
Last Update Date : 09/26/2025

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