Individual provider Active NPI

Sarah Ann Elizabeth Novotny, DPT

  • Physical Therapist
  • Maple Grove, MN
National Provider Identifier
1518279397
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8536 Issued in MN
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8536MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.