Provider Demographics
NPI:1790645281
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:UCHENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUBISI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:317-445-8294
Mailing Address - Street 1:5039 TOWNSHIP LINE RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4847
Mailing Address - Country:US
Mailing Address - Phone:484-521-3660
Mailing Address - Fax:484-521-3661
Practice Address - Street 1:5039 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4847
Practice Address - Country:US
Practice Address - Phone:484-521-3660
Practice Address - Fax:484-521-3661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOVACARE REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty