Active NPI
Noribeth R Iyog
- Physical Therapist
- Evansville, IN
National Provider Identifier
1154568806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009763A
- Practice address
- 1610 E Division St
Evansville, IN 47711-6683 - Phone
- (812) 428-6915
- NPI assigned
- Jan 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009763A | IN | Primary |
Addresses
Primary practice location
1610 E Division St
Evansville, IN 47711-6683
Mailing address
1610 E Division St
Evansville, IN 47711-6683
Phone (812) 428-6915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009763A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens First Rehab Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Evansville, IN
- NPI 1467419770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232150400000",
"number": "1154568806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 E DIVISION ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477116683",
"telephone_number": "812-428-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 E DIVISION ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477116683",
"telephone_number": "812-428-6915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYOG",
"first_name": "NORIBETH",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-17",
"last_updated": "2009-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009763A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.