Eric Z Novicki, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 000117 Issued in OH

Practice address

6901 Man O War
Mason, OH 45040

Phone

(513) 673-6311

Fax

(513) 671-5106

NPI assigned

May 30, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Professional Physical Therapy Services, Inc

  • Physical Therapist
  • Mason, OH
  • NPI 1790804326
  NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1629415690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 MAN O WAR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-673-6311",
            "fax_number": "513-671-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MAN O WAR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-673-6311",
            "fax_number": "513-671-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICKI",
        "first_name": "ERIC",
        "middle_name": "Z",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT 000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fallon Norman
• Jodi L Norris, MS, CCC-SLP
• Northeast Cincinnati Pediatric Associates, Inc.
• Northeastern High-Field MRI, LLC
• Kevin Novak, PHD , CNIM
• Kathleen M Novicki, P.T.
• Sue Noxsel, O.T.
• Jonathan Kemp Nugent, P.T.
• Thomas Richard Nymberg, D.D.S.
• Kourtney Leigh Nystrom

• Athletic Trainer in Mason, OH
• Providers in Mason, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.