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

Jacey Elizabeth Novak

Individual provider Physical Therapy Assistant · NPI 1063390102

Jacey Elizabeth Novak is a Physical Therapy Assistant in Grand Forks, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2025.

Licensed in
MN, ND
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1375 S Columbia Rd
Grand Forks, ND 58201-4015
Phone: (701) 780-5000
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1348A (ND)
Physical Therapy Assistant Taxonomy 225200000X · Licence A3090 (MN)

Record details

NPI number1063390102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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