Individual ProviderSarah Ann Elizabeth NovotnyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10900 73rd Ave N Ste 112, Eagle Lake Business Center, Maple Grove, MN 55369-5400(763) 315-1296PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Ann Elizabeth Novotny does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1518279397Provider TypeIndividualFull NameNovotny, Sarah Ann ElizabethCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date7/8/2010Last Updated7/8/2010Contact InformationPractice LocationPractice Address10900 73rd Ave N Ste 112, Eagle Lake Business Center, Maple Grove, MN 55369-5400Phone(763) 315-1296FaxUnlisted FaxMailing LocationMailing Address10900 73rd Ave N Ste 112, Eagle Lake Business Center, Maple Grove, MN 55369-5400Phone(763) 315-1296FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8536Minnesota