Active NPI
Katherine E Novak, BA
- Speech-Language Pathologist
- Chantilly, VA
National Provider Identifier
1194572602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012169
- Practice address
- 14901 Bogle Dr Ste 100
Chantilly, VA 20151-1736 - Phone
- (571) 346-3781
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202012169 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | SL018737 | PA |
Addresses
Primary practice location
14901 Bogle Dr Ste 100
Chantilly, VA 20151-1736
Mailing address
555 Business Center Dr Ste 100
Horsham, PA 19044-3434
Phone (215) 293-8882
Other practice location 1
555 Business Center Dr Ste 100
Horsham, PA 19044-3434
Phone (215) 293-8882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL018737 | PA | MD | Speech-Language Pathologist |
| 2202012169 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- West Chester, PA
- NPI 1982032793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1194572602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BUSINESS CENTER DR STE 100",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190443434",
"telephone_number": "215-293-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 BOGLE DR STE 100",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511736",
"telephone_number": "571-346-3781"
}
],
"practiceLocations": [
{
"address_1": "555 Business Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Horsham",
"state": "PA",
"postal_code": "190443434",
"country_code": "US",
"telephone_number": "215-293-8882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "KATHERINE",
"middle_name": "E",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012169",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL018737",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.