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

Alfred Theodore Jack Nowak, PT, DPT

Individual provider Physical Therapist · NPI 1124834098

Alfred Theodore Jack Nowak, PT, DPT is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2024, 2 years ago. Practices with Select Cs Physical Therapy PC, a 174-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6801 Park Ter Ste 200
Los Angeles, CA 90045-1546
Phone: (310) 665-7100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307422 (CA)

Record details

NPI number1124834098
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Cs Physical Therapy Pc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles