Kristin Elaine Novotny, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038792-01 Issued in NY

Practice address

2504 Genesee St
Utica, NY 13502-5832

Phone

(315) 765-0063

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Physical Therapy, PLLCGroup PAC ID 0446671127, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Oliver Physical Therapy, PLLC

  • Physical Therapist
  • Utica, NY
  • NPI 1831720762
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1144981135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 IMPERIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133222",
            "telephone_number": "518-524-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025832",
            "telephone_number": "315-765-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "KRISTIN",
        "middle_name": "ELAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038792-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda North, FNP-BC
• Clinton Paige Norwood Jr., LMSW
• Jessica Notte
• Lisa Annette Noviasky
• Ore Novick, OTR/L
• Faria Nowshin, MD
• Rocheny Noziere, MD
• Gerald Nuccio, D.C.
• Elmedina Nuhanovic, NP
• Nursing Home Services Inc

• Physical Therapist in Utica, NY
• Providers in Utica, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.