Provider Demographics
NPI:1154299840
Name:NOVAK, ADAM EDWARD (DPT)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:EDWARD
Last Name:NOVAK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3066
Mailing Address - Country:US
Mailing Address - Phone:610-630-0101
Mailing Address - Fax:
Practice Address - Street 1:2456 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-3066
Practice Address - Country:US
Practice Address - Phone:610-630-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic