Individual provider Active NPI

Lindsey Mae Novakovic, OTR/L, CSOT

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1306655097
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029656 Issued in NY
Practice address
150 W End Ave
New York, NY 10023-5702
Phone
(212) 600-4781
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 029656 NY Primary

Addresses

Primary practice location

150 W End Ave
New York, NY 10023-5702

Mailing address

307 E 94TH St Apt 4D
New York, NY 10128-4707
Phone (518) 480-5584

Other practice location 1

307 E 94th St Apt 4D
New York, NY 10128-4707
Phone (518) 480-5584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207002606 NY Practitioner - Occupational Therapist in Private Practice 4284164039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth and Fitness PT OT PLLCGroup PAC ID 4284828757, 10 clinicians

Practice addresses (Care Compare)

150 W End Ave
Apt 1M
New York, NY 10023-5715
Phone (212) 600-4781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth and Fitness PT OT PLLC Occupational Therapist CurrentSince Jan 5, 2025 Accepting new patients
Prohealth and Fitness PT OT PLLC Occupational Therapist CurrentSince Jan 5, 2025 Accepting new patients

Locations

150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1306655097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 94TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284707",
            "telephone_number": "518-480-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235702",
            "telephone_number": "212-600-4781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 E 94th St Apt 4D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101284707",
            "country_code": "US",
            "telephone_number": "518-480-5584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAKOVIC",
        "first_name": "LINDSEY",
        "middle_name": "MAE",
        "credential": "OTR/L, CSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.