1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Recreation Therapist
  6. NPI Profile

KIMBERLY NOVAK CTRS
NPI 1609404805
Recreation Therapist in Grand Rapids, MI

Active since April 01, 2020
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 855-5226 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2022, Apr 1, 2020 (2 updates tracked since 2020).

About Kimberly Novak Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY NOVAK CTRS (NPI 1609404805) is an individual recreation therapist in Grand Rapids, Michigan, licensed in Michigan (68065) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1609404805
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameKIMBERLY NOVAKCredential: CTRS
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 855-5226
Phone(616) 855-5226
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1609404805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in MI · 68065
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
790 FULLER AVE NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUARTE-MENENDEZ LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MISS JALISA SHAWTAE SMITH LLMSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MACKENZIE ERIN CLEGG
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MRS. ALEITA A BROWN LLBSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 825-5412
ANNIKA KNOTT LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 724-6942
VIOLET RAMAGE
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (734) 493-2978
DAVID G MARSHALL LPC
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
DAWN MARIE MACDONALD LLMSW
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Novak's NPI number?

The NPI number for Kimberly Novak is 1609404805. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Kimberly Novak located?

Kimberly Novak practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 855-5226.

What is Kimberly Novak's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Kimberly Novak was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.