Noll Spine Rehabilitation and Orthopedic Physical Therapy, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

1870 Issued in NE

Legal business name

NOLL SPINE REHABILITATION AND ORTHOPEDIC PHYSICAL THERAPY, INC

Practice address

11414 W Center Rd
Ste 242
Omaha, NE 68144-4487

Phone

(402) 991-7988

Fax

(402) 933-2684

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Eric P Noll, DPT, CERT MDTNPI 1669663076

Title

President

Phone

(402) 991-7988

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric P Noll, DPT

  • Physical Medicine & Rehabilitation Physician
  • Omaha, NE
  • NPI 1669663076
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1063407518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "STE 242",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444487",
            "telephone_number": "402-991-7988",
            "fax_number": "402-933-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "STE 242",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444487",
            "telephone_number": "402-991-7988",
            "fax_number": "402-933-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLL SPINE REHABILITATION AND ORTHOPEDIC PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "NOLL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-991-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CERT MDT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025099600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Nolasco Hernandez
• Esther A Nolasco, PA-C
• Juan Alejandro Nolasco
• Vicky Nolasco
• Anna Lanora Nolette, CPNP
• Benjamin Matthew Noll, RP
• Eric P Noll, DPT
• Melinda Claire Noller
• Sara H Nollette, APRN
• Joslyn Nolte

• Specialist in Omaha, NE
• Providers in Omaha, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.