Jacey Elizabeth Novak
NPI 1063390102ActiveIndividual· Physical Therapy Assistant· Grand Forks, ND
Physical Therapy Assistant in Grand Forks, North Dakota, licensed in ND and MN, with an NPI issued in August 2025.
Overview
| NPI | 1063390102 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 26, 2025 |
| Last updated in NPPES | Aug 26, 2025 |
| Certified by provider | Aug 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 1348A | ND |
| Physical Therapy Assistant | 225200000X | A3090 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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