Individual provider Active NPI

Noelle E White, PT, DPT

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1144875915
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61091020 Issued in WA
Practice address
3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654
Phone
(360) 709-6221
NPI assigned
Aug 7, 2019
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296982 CA
Physical Therapist 225100000X PT61091020 WA Primary

Addresses

Primary practice location

3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654

Mailing address

3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654
Phone (360) 709-6221

Other practice location 1

39400 Murrieta Hot Springs Rd Ste 122A
Murrieta, CA 92563-7709
Phone (951) 394-1620

Other practice location 2

6177 River Crest Dr Ste A
Riverside, CA 92507-0728
Phone (951) 653-4480

Other identifiers 1

IdentifierTypeStateIssuer
296982OtherCAPHYSICAL THERAPIST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019001312 WA Practitioner - Physical Therapist in Private Practice 2264852938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hidef Seattle,LLCGroup PAC ID 1850775917, 22 clinicians

Practice addresses (Care Compare)

2211 5TH Ave
Seattle, WA 98121-4034
Phone (206) 693-9929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296982CAMDPhysical Therapist
PT61091020WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuohy Physical Therapy LLC CurrentSince Oct 12, 2021 Accepting new patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince Jan 15, 2023 Accepting new patients
Hidef Seattle,LLC CurrentSince Apr 23, 2023 Accepting new patients
West Coast Spine Restoration Center, Inc Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
520 Physical Therapy, LLC Physical Therapist PastSince May 16, 2021 Accepting new patients

Locations

6177 River Crest Dr
Ste A
Riverside, CA 92507
Phone (951) 653-4480

1030 15th St NW
Ste 246
Washington, DC 20005

11200 SE 6th St
Bellevue, WA 98004

7525 166th Ave NE
#D225
Redmond, WA 98052
Phone (425) 883-9630

332 Burnett Ave S
Renton, WA 98057
Phone (206) 693-9929

22717 SE 29th St
Ste D100
Sammamish, WA 98075
Phone (425) 883-9631

2211 5th Ave
Seattle, WA 98121
Phone (206) 693-9929

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1144875915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL MALL DR SW STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "360-709-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL MALL DR SW STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "360-709-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39400 Murrieta Hot Springs Rd Ste 122A",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925637709",
            "country_code": "US",
            "telephone_number": "951-394-1620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6177 River Crest Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925070728",
            "country_code": "US",
            "telephone_number": "951-653-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NOELLE",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296982",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61091020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "296982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.