Active NPI
Sarah Ann Elizabeth Novotny, DPT
- Physical Therapist
- Maple Grove, MN
National Provider Identifier
1518279397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8536
- Practice address
- 10900 73Rd Ave N Ste 112
Eagle Lake Business Center
Maple Grove, MN 55369-5400 - Phone
- (763) 315-1296
- NPI assigned
- Jul 8, 2010
- Last updated
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8536 | MN | Primary |
Addresses
Primary practice location
10900 73Rd Ave N Ste 112
Eagle Lake Business Center
Maple Grove, MN 55369-5400
Mailing address
10900 73Rd Ave N Ste 112
Eagle Lake Business Center
Maple Grove, MN 55369-5400
Phone (763) 315-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8536 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners Inc | Physical Therapist | Past | Accepting new patients |
| Saunders Therapy Centers Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1518279397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 73RD AVE N STE 112",
"address_2": "EAGLE LAKE BUSINESS CENTER",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695400",
"telephone_number": "763-315-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 73RD AVE N STE 112",
"address_2": "EAGLE LAKE BUSINESS CENTER",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695400",
"telephone_number": "763-315-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTNY",
"first_name": "SARAH",
"middle_name": "ANN ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
- Northwest Family Chiropractic PA
- Northwood Chiropractic & Wellness LLC
- Katelyn Jane Norwood, LPCC, NCC
- Amanda Kaye Nosbush
- Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
- Now Medical, Inc
- Cliff Nyakundi Ntenga, NP
- Julia Nugent, MD
- Brooke Kristine Nunemaker, OTR/L
- Juliana Nwokocha, RN,BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.