NOVANT HEALTH PEDIATRIC REHABILITATION – NPI #1396366316
Physical Medicine & Rehabilitation

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

NOVANT HEALTH PEDIATRIC REHABILITATION is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1396366316 to NOVANT HEALTH PEDIATRIC REHABILITATION on April 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH PEDIATRIC REHABILITATION” is a dba name, the actual legal business name for this organization is NOVANT MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 2081P0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine

The NPI profile was previously updated about 5 years ago on Aug 16, 2021. 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 NOVANT HEALTH PEDIATRIC REHABILITATION below.

NPI Profile for
NOVANT MEDICAL GROUP, INC.

NPI Number
1396366316
Enumeration Date

(more than 6 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
NOVANT MEDICAL GROUP, INC.
Doing Business As (dba): NOVANT HEALTH PEDIATRIC REHABILITATION
Primary location
2711 RANDOLPH RD STE 100
CHARLOTTE, NC 28207-2027
Phone: (980) 302-8271 Fax: (980) 302-8285
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: Fax:
Organization Subpart
Yes - NOVANT HEALTH PEDIATRIC REHABILITATION is subpart of another organization.
Authorized Official
SHALA DAVIS
RCS MANAGER
Phone: (704) 303-7517
Updated
Certification Date
Aug 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2081P0010X
- Physical Medicine & Rehabilitation / Pediatric Rehabilitation Medicine (Primary)

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.