Individual provider · Type 1 NPI

Jacey Elizabeth Novak

Physical Therapy Assistant · Grand Forks, ND

NPI number 1063390102 Active

Practice location

1375 S Columbia Rd
Grand Forks, ND 58201-4015

Call (701) 780-5000 Map

Mailing address

2401 Demers Ave
Grand Forks, ND 58201-4183

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XA3090 (MN)
Physical Therapy Assistant Primary 225200000X1348A (ND)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1063390102

Jacey Elizabeth Novak's National Provider Identifier is 1063390102, issued on Aug 26, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Forks, ND. The record was last updated on Aug 26, 2025.