Jessica M. Novak, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1271731 Issued in TX

Practice address

4300 Macarthur Ave.
Suite 170
Dallas, TX 75209

Phone

(214) 579-9781

Fax

(214) 579-9673

NPI assigned

Feb 18, 2016

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Novak, PLLC

  dba Functional Recovery and Movement

  • Physical Therapist
  • Dallas, TX
  • NPI 1790493997
  NPD Authorized official
• Synergy PT and Pilates LLC

  dba Synergy Physical Therapy and Pilates

  • Physical Therapy Clinic/Center
  • Dallas, TX
  • NPI 1659722585
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1093174062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MACARTHUR AVE.",
            "address_2": "SUITE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096532",
            "telephone_number": "214-579-9781",
            "fax_number": "214-579-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MACARTHUR AVE.",
            "address_2": "SUITE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75209",
            "telephone_number": "214-579-9781",
            "fax_number": "214-579-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amal Noureldin, BDS, MS, PHD
• Farnoosh Massoudian Nouri, M.ED., LPC
• Leyla Nourian, DDS
• Nourish Play Therapy LLC
• Nova Path Lab LLC
• Kelly A. Novak, AUD, CCC/A
• Georgi Novakov, CNIM, D.ABNM
• Roberta Novakovic, MD
• Sava Novakovic
• Novel Community Health Services Inc

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.