NOVACARE KIDS – NPI #1770615676
Clinic/Center

NOVACARE KIDS is an AHC clinic located in CRYSTAL LAKE, IL. NPPES has assigned the NPI number 1770615676 to NOVACARE KIDS on March 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVACARE KIDS” is a dba name, the actual legal business name for this organization is PHYSIOTHERAPY ASSOCIATES INC. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

The NPI profile was previously updated about 7 years ago on Nov 14, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVACARE KIDS below.

NPI Profile for
PHYSIOTHERAPY ASSOCIATES INC

NPI Number
1770615676
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSIOTHERAPY ASSOCIATES INC
Doing Business As (dba): NOVACARE KIDS
Primary location
1095 PINGREE RD STE 208-209
CRYSTAL LAKE, IL 60014-1725
Phone: (847) 458-8890 Fax: (847) 458-8889
Mailing address
4714 GETTYSBURG RD
MECHANICSBURG, PA 17055-4325
Phone: Fax:
Organization Subpart
Yes - NOVACARE KIDS is subpart of another organization.
Authorized Official
MICHAEL TARVIN
VICE PRESIDENT
Phone: (717) 972-1100
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.