Individual provider Active NPI

Noah Novak, DPT

  • Physical Therapist
  • Rostraver TWP, PA
National Provider Identifier
1295613313
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033676 Issued in PA
Practice address
638 Rostraver Rd
Rostraver TWP, PA 15012-1967
Phone
(724) 243-3728
Fax
(724) 320-2254
NPI assigned
Aug 26, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT033676 PA Primary

Addresses

Primary practice location

638 Rostraver Rd
Rostraver TWP, PA 15012-1967

Mailing address

638 Rostraver Rd
Rostraver TWP, PA 15012-1967
Phone (724) 243-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031002009 PA Practitioner - Physical Therapist in Private Practice 1557850211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy and Wellness LLCGroup PAC ID 6305275314, 5 clinicians

Practice addresses (Care Compare)

638 Rostraver Rd
Rostraver TWP, PA 15012-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033676PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy and Wellness LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

638 Rostraver Rd
Ste 102
Rostraver Twp, PA 15012
Phone (412) 997-6405

638 Rostraver Rd
Ste 104
Rostraver Twp, PA 15012
Phone (724) 243-3728

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1295613313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-243-3728",
            "fax_number": "724-320-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-243-3728",
            "fax_number": "724-320-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "NOAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.