Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Novak

Individual provider Physical Therapist · NPI 1124883582

Alexis Novak is a Physical Therapist in Private Practice in Jenison, Michigan. Qualified in 2023, 3 years ago. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

1915 Georgetown Center Dr Ste 102
Jenison, MI 49428-7121
Phone: (616) 577-8251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303245 (MI)

Record details

NPI number1124883582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2024
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Jenison