Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mark Novotny

Physician β€’ Denver, CO

Deactivated NPI 1154774396 Deactivated in NPPES Male Practitioner
Practice location in NPPES

495 Uinta Way, Suite 140
Denver, CO 802307110

Phone: 3034328487

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 30, 2022; the reason is not published. The records below are historical. They do not show whether Mark Novotny currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 22, 2016
NPI Deactivation Date June 30, 2022
NPI Active Period 2016 – 2022

Practice Location & Contact Primary Location

Practice Address

495 Uinta Way
Suite 140

Denver, CO 802307110

Telephone 3034328487
Organization at the Same NPPES Address or Phone
Debra Anne Fenton Facility NPI 1548438948

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Denver and Colorado

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Shannon Lozano , OTD, OTR, L

Occupational Therapist

NPI 1770727950

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Dr. Emily Quinn , PT, DPT

Physical Therapist

NPI 1487117396

Physical Therapist, Doctor of Physical Therapy

Caroline Rickman , MA

Speech-Language Pathologist

NPI 1881272748

Master of Arts

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 30, 2022

NPPES lists this NPI as deactivated as of June 30, 2022; the reason is not published.

βœ…
NPI Profile Active July 22, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 22, 2016

Registered at 495 UINTA WAY, SUITE 140, DENVER, CO 802307110 (Tel: 3034328487)

πŸ“
Business Mailing Address (Initial Record) July 22, 2016

Registered at 495 UINTA WAY, SUITE 140, DENVER, CO 802307110 (Tel: 3034328487)

πŸ‘€
Provider Name / Credentials (Initial Record) July 22, 2016

Recorded as MARK NOVOTNY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Home Health

🟒
Initial NPI Registration & Enumeration July 22, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1154774396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2016
Last Update: July 22, 2016
Deactivation Date: June 30, 2022

Mailing Address

495 Uinta Way, Suite 140

Denver, CO 802307110

Phone: 3034328487

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.