Individual provider Active NPI

Isabella Kathryn Novak, MSOT, OTR/L, BCP

  • Occupational Therapist
  • Buford, GA
National Provider Identifier
1568009686
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008208 Issued in GA
Practice address
22 Buford Village Way
Suite 229
Buford, GA 30518
Phone
(678) 482-6100
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008208 GA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

22 Buford Village Way
Suite 229
Buford, GA 30518

Mailing address

337 E Wilson St
Milwaukee, WI 53207-1571

Other names 1

  • Isabella Johnson Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT008208GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow & Glow Therapies, LLC Occupational Therapist CurrentSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1568009686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 E WILSON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BUFORD VILLAGE WAY",
            "address_2": "SUITE 229",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "678-482-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ISABELLA",
        "middle_name": "KATHRYN",
        "credential": "MSOT, OTR/L, BCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008208",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "JOHNSON",
            "credential": "MSOT, OTR/L, BCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.