Individual provider Active NPI

Noel C. Tugwell, MPT, MS

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1043230964
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2399 Issued in AR
Practice address
1002 Westpark Dr
Ste 6
Bentonville, AR 72712-4283
Phone
(479) 250-4014
Fax
(479) 250-4015
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2399 AR Primary

Addresses

Primary practice location

1002 Westpark Dr
Ste 6
Bentonville, AR 72712-4283

Mailing address

1002 Westpark Dr
Ste 6
Bentonville, AR 72712-4283
Phone (479) 250-4014

Other identifiers 1

IdentifierTypeStateIssuer
5Y171OtherARBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000056 AR Practitioner - Physical Therapist in Private Practice 6406858497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1607 Southpointe
Siloam Springs, AR 72761-4323
Phone (479) 373-1607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2399ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
3D PT, Inc Physical Therapist Current Accepting new patients
Upward PT LLC Physical Therapist CurrentSince Apr 8, 2019 Accepting new patients

Locations

125 E Kenwood St
#A
Siloam Springs, AR 72761
Phone (479) 373-1607

2021 E Main St
Siloam Springs, AR 72761
Phone (459) 524-3378

1607 Southpointe
Siloam Springs, AR 72761
Phone (479) 373-1607

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1043230964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WESTPARK DR",
            "address_2": "STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124283",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WESTPARK DR",
            "address_2": "STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124283",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGWELL",
        "first_name": "NOEL",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "MPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "5Y171",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.