Active NPI
Marsha Novak, P.T.
- Physical Therapist
- Bainbridge Island, WA
National Provider Identifier
1720125982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003357
- Practice address
- 381 Wallace Way NE
Unit 101- a
Bainbridge Island, WA 98110-2868 - Phone
- (206) 842-4608
- Fax
- (206) 547-8327
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003357 | WA | Primary |
Addresses
Primary practice location
381 Wallace Way NE
Unit 101- a
Bainbridge Island, WA 98110-2868
Mailing address
140 Sadie LN NW
Bainbridge Island, WA 98110-1796
Phone (206) 842-4608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124016 | Other | WA | SATE LABOR & INDUSTRIES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003357 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1720125982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SADIE LN NW",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101796",
"telephone_number": "206-842-4608",
"fax_number": "206-547-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 WALLACE WAY NE",
"address_2": "UNIT 101- A",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102868",
"telephone_number": "206-842-4608",
"fax_number": "206-547-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "MARSHA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SATE LABOR & INDUSTRIES",
"identifier": "124016",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.