Active NPI
Amber G Noble, P.T.
- Physical Therapist
- Suttons Bay, MI
National Provider Identifier
1205967882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004763
- Practice address
- 1381 S West Bay Shore Dr
Suttons Bay, MI 49682-9498 - Phone
- (231) 271-0375
- Fax
- (231) 271-0376
- NPI assigned
- Mar 8, 2007
- 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 | 5501004763 | MI | Primary |
Addresses
Primary practice location
1381 S West Bay Shore Dr
Suttons Bay, MI 49682-9498
Mailing address
9578 Woodys Run
Traverse City, MI 49684-7910
Phone (231) 933-9320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5901 Shugart LN
Traverse City, MI 49684-7152
Phone (231) 943-1655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004763 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leelanau Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| William Sterling Margaret LLC | Physical Therapist | Past | Accepting new patients |
Locations
1381 SW Bayshore Dr
Suttons Bay, MI 49682
Phone (231) 271-0374
1878 S West Bay Shore Dr
Suttons Bay, MI 49682
5901 Shugart Ln
Traverse City, MI 49684
Phone (231) 943-1655
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.
-
- Physical Therapist
- Suttons Bay, MI
- NPI 1295092658
-
- Physical Therapist
- Novi, MI
- NPI 1003946625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1205967882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9578 WOODYS RUN",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847910",
"telephone_number": "231-933-9320",
"fax_number": "231-933-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 S WEST BAY SHORE DR",
"city": "SUTTONS BAY",
"state": "MI",
"postal_code": "496829498",
"telephone_number": "231-271-0375",
"fax_number": "231-271-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "AMBER",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suttons Bay, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.