Organization Active NPI

Nova Therapy Specialists

Doing business as Nova Physical Therapy Specialists

  • Orthopedic Physical Therapist
  • Sarasota, FL
National Provider Identifier
1366196297
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
NOVA THERAPY SPECIALISTS
Doing business as
Nova Physical Therapy Specialists
Practice address
1055 S Tamiami Trail Suite 105
Suite 105
Sarasota, FL 34236-9118
Phone
(941) 921-5809
Fax
(941) 921-5249
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Meghan K Wicks, P.T.NPI 1720153091
Title
Physical/Therapist/Owner
Phone
(941) 921-5809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1055 S Tamiami Trail Suite 105
Suite 105
Sarasota, FL 34236-9118

Mailing address

1055 S Tamiami Trail Suite 105
Suite 105
Sarasota, FL 34236-9118
Phone (941) 921-5809

Other names 1

  • Nova Physical Therapy Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1055 S Tamiami Trl
Ste 105
Sarasota, FL 34236
Phone (941) 921-5809

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1366196297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S TAMIAMI TRAIL SUITE 105",
            "address_2": "SUITE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369118",
            "telephone_number": "941-921-5809",
            "fax_number": "941-921-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S TAMIAMI TRAIL SUITE 105",
            "address_2": "SUITE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369118",
            "telephone_number": "941-921-5809",
            "fax_number": "941-921-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL/THERAPIST/OWNER",
        "authorized_official_telephone_number": "941-921-5809",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Physical Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.