MIRANDA NOVAK – Physical Therapist, NPI 1447802459

MIRANDA NOVAK is a healthcare provider. based in Wyoming, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501018696 (MI). The NPI Number for MIRANDA NOVAK is 1447802459

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA NOVAK
NPI
1447802459
Phone
(262) 442-7721
Address
2935 WATERCHASE WAY SW APT 205
Enumeration Date
10 July 2019
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8285052664
Graduation Year
2018 (8 years ago)
PAC ID
5890183917
Group Practice PAC ID
9931385341
Professional Enrollment ID
I20211022000511
Address ID
NC288038628AS226XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MIRANDA NOVAK

  • 2935 WATERCHASE WAY SW APT 205

    WYOMING, MI 495195922

    Phone: (262) 442-7721

    Type: Mailing

  • 451, Health Parkway, Paw Paw, Paw Paw Township, Van Buren County, Michigan, 49079, United States

    PAW PAW, MI 490798242

    Phone: (269) 657-1318

    Type: Location

  • 226 CHARLOTTE HWY

    ASHEVILLE, NC 288038628

    Phone: (828) 298-0492

    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: 2021-10-22

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
I20211022000511IPhysical Therapist In Private PracticeNCTBD

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 minutes1,39694$0
97140Therapy procedure using manual technique, each 15 minutes73879$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes38075$0
97530Therapy procedure using functional activities28361$0
97116Therapy procedure for walking training, each 15 minutes6815$0
View full utilization report →

Insurance plans in this area (ZIP 49519)

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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: 9931385341View full group profile
NameSpecialtyState
-NC
Physical Therapist In Private PracticeAZ
-ME
Physical Therapist In Private PracticeNC
-CT
-NC
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC

Reviews

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Frequently asked questions

How do payers reference MIRANDA NOVAK?
For MIRANDA NOVAK, use NPI 1447802459 as the unique 10-digit identifier.
Active or inactive — what applies to MIRANDA NOVAK?
You should see MIRANDA NOVAK as active in CMS-hosted NPPES data.
How would a patient describe MIRANDA NOVAK's focus?
For MIRANDA NOVAK, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MIRANDA NOVAK?
Directory geography for MIRANDA NOVAK centers on Wyoming, Michigan.
Does MIRANDA NOVAK accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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