CARISSA LYNN NOVELLI (PT, DPT) – Physical Therapist, NPI 1194407254

CARISSA LYNN NOVELLI (PT, DPT) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA02194100 (NJ). The NPI Number for CARISSA LYNN NOVELLI (PT, DPT) is 1194407254

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CARISSA LYNN NOVELLI (PT, DPT)
NPI
1194407254
Phone
(856) 677-4000
Address
1650 LYNDON FARM CT STE 300
Enumeration Date
7 August 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6094518088
Graduation Year
2023 (3 years ago)
PAC ID
9436503166
Group Practice PAC ID
6709292535
Professional Enrollment ID
I20230928001005
Address ID
NJ080558772ME103XXPIKE402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for CARISSA LYNN NOVELLI (PT, DPT)

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (856) 677-4000

    Fax: (856) 234-3014

    Type: Mailing

  • 103 OLD MARLTON PIKE STE 111

    MEDFORD, NJ 080558772

    Phone: (609) 451-8088

    Fax: (609) 451-8089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230928001005IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes51446$0
97530Therapy procedure using functional activities20035$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18732$0
97140Therapy procedure using manual technique, each 15 minutes16335$0
97161Evaluation for physical therapy, typically 20 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 40223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709292535View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeDE
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is CARISSA LYNN NOVELLI (PT, DPT)'s NPI number?
CARISSA LYNN NOVELLI (PT, DPT)'s NPI is 1194407254 — the number used across U.S. healthcare to identify this provider.
Is CARISSA LYNN NOVELLI (PT, DPT) shown as active in public data?
Registry records indicate CARISSA LYNN NOVELLI (PT, DPT) maintains an active NPI.
What expertise is attributed to CARISSA LYNN NOVELLI (PT, DPT)?
CARISSA LYNN NOVELLI (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is CARISSA LYNN NOVELLI (PT, DPT) located near Louisville?
CARISSA LYNN NOVELLI (PT, DPT) currently maps to Louisville, Kentucky in this extract.
Does CARISSA LYNN NOVELLI (PT, DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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