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

Jerome Novak, PT

Individual provider Orthopedic Physical Therapist · NPI 1861424202

Jerome Novak, PT is an Orthopedic Physical Therapist in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

6123 Green Bay Rd Ste 100
Kenosha, WI 53142-2939
Phone: (262) 880-1034
Fax: (888) 972-3708
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9800-024 (WI)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 070-013596 (IL)

Record details

NPI number1861424202
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address12121 45th Ave, Pleasant Prairie, WI 53158-3901

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