Active NPI
Kathleeen a Novick, M.a.,P.T.
- Physical Therapy Clinic/Center
- Amityville, NY
National Provider Identifier
1720112790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT002394
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Amityville, NY
- NPI 1881653939
-
- Physical Therapist
- Oneonta, NY
- NPI 1316908379
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.