Michelle Novofastovsky, M.S, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028903 Issued in NY

Practice address

1554 Northern Blvd
Manhasset, NY 11030-3053

Phone

(516) 719-3700

NPI assigned

Apr 16, 2024

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Female

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
  • NPI 1770540593

  Occupational Therapist

  Medicare reassignment NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
  • NPI 1629825591
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1588418586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NEPTUNE AVE APT 21C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303053",
            "telephone_number": "516-719-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOFASTOVSKY",
        "first_name": "MICHELLE",
        "credential": "M.S, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore-Lij Medical Group P.C. (North Shore University Hospital Independence at Home Demonstration)
• North-Shore Hospital
• Northshore Lij Health System
• Northwell Health Stern Family Center for Rehabilitation
• Shana Mae Novack, P.A.
• Christopher Noyes
• Nslij Dental Medicine
• Nslij Manhassett
• Kareem Nugdalla
• Julianne Nugent, PT, DPT

• Occupational Therapist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.