Organization Active NPI

Kathleeen a Novick, M.a.,P.T.

  • Physical Therapy Clinic/Center
  • Amityville, NY
National Provider Identifier
1720112790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT002394 Issued in NY
Legal business name
KATHLEEEN A NOVICK, M.A.,P.T.
Practice address
320 Merrick Rd Ste 3
Amityville, NY 11701-3440
Phone
(631) 691-5338
Fax
(631) 691-0723
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kathleen Ann Novick, M.A., P.T.NPI 1881653939
Title
Owner
Phone
(631) 691-5338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT002394 NY Primary

Addresses

Primary practice location

320 Merrick Rd Ste 3
Amityville, NY 11701-3440

Mailing address

320 Merrick Rd Ste 3
Amityville, NY 11701-3440
Phone (631) 691-5338

National Provider Directory

National Provider Directory

Locations

320 Merrick Rd
Ste 3
Amityville, NY 11701
Phone (631) 691-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720112790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MERRICK RD STE 3",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013440",
            "telephone_number": "631-691-5338",
            "fax_number": "631-691-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MERRICK RD STE 3",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013440",
            "telephone_number": "631-691-5338",
            "fax_number": "631-691-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEEN A NOVICK, M.A.,P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-691-5338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "PT002394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.