Debra Nowak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4117 Issued in MA

Practice address

16 Weld St
Roslindale, MA 02131-1039

Phone

(617) 638-7062

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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 MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drac PT IncGroup PAC ID 4880599653, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Drac PT Inc

  • Physical Therapist
  • Dedham, MA
  • NPI 1285730713
  Medicare reassignment Care Compare group NPD
• Drac Physical Therapy, Inc.

  • Occupational Therapist
  • Dedham, MA
  • NPI 1730497538
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396951489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WELD ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WELD ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311039",
            "telephone_number": "617-638-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "DEBRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A. Nopper, MSN, APRN, FNP-C
• North Shore Rehabilitation Services LLC
• North South Physical Therapy (Washington Physical Therapy)
• Michelle Novelle, LICSW, PHD
• Emalie Novick, MA
• Adam Fay O'Brien
• Stefanie T. O'Brien, LCSW
• Erin O'Connell, RD
• Stefanie Anne O'Connor, MS, RD, LDN
• Ashley Oelkers, LICSW

• Physical Therapist in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.