Carissa L Novelli, PT, DPT
Physical Therapist in Medford, New Jersey
1194407254- Practice location
- 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772
- Phone
- 609-451-8088
- Fax
- 609-451-8089
- Last updated
- August 7, 2023
Carissa Lynn Novelli is a Physical Therapist based in Medford, NJ. Carissa Lynn Novelli practices in Medford, NJ and has the professional credentials of PT, DPT. The NPI Number for Carissa Lynn Novelli is 1194407254 and holds a License No. 40QA02194100 (NJ). The current practice location address for Carissa Lynn Novelli is 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772 and can be reached out via phone at 609-451-8088 and via fax at 609-451-8089.
Provider Profile Details
- NPI Number
- 1194407254
- Provider Name
- Carissa Lynn Novelli
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772
- Phone Number
- 609-451-8088
- Fax Number
- 609-451-8089
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2023
- Last Update Date
- August 7, 2023
- Certification Date
- August 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Old Marlton Pike Ste 111
Medford, NJ 08055-8772 - City
- Medford
- State
- New Jersey
- Zip
- 08055-8772
- Phone Number
- 609-451-8088
- Fax Number
- 609-451-8089
Provider Business Mailing Address Details
- Address
- 1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005 - City
- Louisville
- State
- KY
- Zip
- 40223-5005
- Phone Number
- 856-677-4000
- Fax Number
- 856-234-3014
License Information
- License Number
- 40QA02194100
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Carissa L Novelli, PT, DPT?
The NPI number of Carissa L Novelli, PT, DPT is 1194407254. It was assigned on August 7, 2023 and is currently active in the NPPES registry.
What is the specialty of Carissa L Novelli, PT, DPT?
Carissa L Novelli, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02194100.
Where does Carissa L Novelli, PT, DPT practice?
The practice location is 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772. The office can be reached at 609-451-8088 (phone) or 609-451-8089 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194407254 directly on the NPPES registry website.