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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME NOVAK, PT

Active Sole Proprietor

JEROME NOVAK, PT is a Physical Therapy Assistant healthcare provider located in KENOSHA, Wisconsin. NPI 1861424202 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KENOSHA, WI

Registration Details

NPI Number
1861424202
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.068634748823 yrs)
Last Updated
Aug 19, 2025
Licenses
070-013596 (IL)
9800-024 (WI)
Sole Proprietor
Yes

Practice Information

Address
6123 GREEN BAY RD STE 100
KENOSHA, WI, 531422939
Browse WI providers · Browse ZIP 53142
Phone
2628801034
Fax
8889723708
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KENOSHA, WI

Name Credential NPI
MR. WILLIAM H. LETSOM PT 1356330609
MRS. ALICE M. SCHWALBE P.T. 1538150297
CARMELO D TENUTA PT 1144267550
LARRY D BRIAND MS, PT, ATC 1275573198
MARISA J. TROTTIER 1578506192
MARK J NEU PT 1689696015
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.