Individual provider Active NPI

Anne Michelle Novick, DPT

  • Specialist
  • Palo Alto, CA
National Provider Identifier
1487889986
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 32152 Issued in CA
Practice address
638 Maybell Ave
Palo Alto, CA 94306-3815
Phone
(650) 845-3005
Fax
(650) 856-6935
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 32152 CA Primary

Addresses

Primary practice location

638 Maybell Ave
Palo Alto, CA 94306-3815

Mailing address

405 Stierlin Rd
#50
Mountain View, CA 94043-4651
Phone (650) 815-8949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002000537 DE Practitioner - Physical Therapist in Private Practice 8820533086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 32152CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Delaware & Marylands Eastern Shore, Inc CurrentSince Jun 20, 2024 Accepting new patients
Santa Clara County CCS Past Accepting new patients

Locations

100 Enterprise Pl
Ste 1
Dover, DE 19904
Phone (302) 678-3353

61 Corporate Cir
New Castle, DE 19720
Phone (302) 221-2076

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1487889986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STIERLIN RD",
            "address_2": "#50",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940434651",
            "telephone_number": "650-815-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MAYBELL AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063815",
            "telephone_number": "650-845-3005",
            "fax_number": "650-856-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICK",
        "first_name": "ANNE",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 32152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.