Organization Active NPI

Noonan Physical Therapy & Associates Northwest, LLC

Doing business as Noonan Physical Therapy & Associates

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1124408828
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NOONAN PHYSICAL THERAPY & ASSOCIATES NORTHWEST, LLC
Doing business as
Noonan Physical Therapy & Associates
Practice address
5880 N la Cholla Blvd
Suite120
Tucson, AZ 85741-3593
Phone
(520) 574-0200
Fax
(520) 639-8124
NPI assigned
Jun 8, 2015
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Dr. Michael R. Noonan, PT, DPT
Title
Owner
Phone
(520) 574-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5880 N la Cholla Blvd
Suite120
Tucson, AZ 85741-3593

Mailing address

5880 N la Cholla Blvd
Suite 120
Tucson, AZ 85741-3593
Phone (520) 639-8122

Other identifiers 1

IdentifierTypeStateIssuer
027293MedicaidAZ

Other names 1

  • Noonan Physical Therapy & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

5880 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 639-8122

5880 N La Cholla Blvd
Ste 120
Tucson, AZ 85741
Phone (520) 575-8757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1124408828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 N LA CHOLLA BLVD",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413593",
            "telephone_number": "520-639-8122",
            "fax_number": "520-639-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 N LA CHOLLA BLVD",
            "address_2": "SUITE120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413593",
            "telephone_number": "520-574-0200",
            "fax_number": "520-639-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOONAN PHYSICAL THERAPY & ASSOCIATES NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-574-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027293",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noonan Physical Therapy & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.