Shawn Novella

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1352825

Practice address

1700 Madison Dr
Anna, TX 75409-4752

Phone

(352) 857-3188

NPI assigned

Dec 23, 2024

Sex

Male

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Patriot Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Anna, TX
  • NPI 1780546630

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1487462453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MADISON DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MADISON DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094752",
            "telephone_number": "352-857-3188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13140 Coit Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752405735",
            "country_code": "US",
            "telephone_number": "214-891-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVELLA",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "1352825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi Dawn Nelson, LPC, LCDC
• Afton M N Nesbitt, PT, DPT
• Beatrice Njuguna
• Caroline Pike Nolin, LPC
• Notting Hill Group
• Nurturing Minds Behavioral Health LLC
• Sidney N Okpue, PHARM D
• Raygan Oldfield
• Oluremi Isaac Bright Olubu, RN
• Omni Spine Pain Management, PLLC

• Physical Therapist in Anna, TX
• Providers in Anna, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.