Active NPI
Katlyn Noel
- Physical Therapy Assistant
- Leesport, PA
National Provider Identifier
1215442983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE011291
- Practice address
- 1011 Berk Rd
Leesport, PA 19533-8705 - Phone
- (610) 376-4841
- NPI assigned
- Dec 4, 2017
- Last updated
- Jan 4, 2021
- 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 Therapy Assistant | 225200000X | TE011291 | PA | Primary |
Addresses
Primary practice location
1011 Berk Rd
Leesport, PA 19533-8705
Mailing address
109 Red Stone Cir
Reinholds, PA 17569-9460
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 |
|---|---|---|---|
| TE011291 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1215442983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 RED STONE CIR",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BERK RD",
"city": "LEESPORT",
"state": "PA",
"postal_code": "195338705",
"telephone_number": "610-376-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "KATLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE011291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesport, PA
- Mountain River Physical Therapy LLC
- Mountain River Physical Therapy Specialists LLC
- Lisa R Nagle
- Mary Anna Namiotka, LCSW
- Kay Marie Nichols-Wolfe, MBA, OTR/L
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
- Genevieve Beetham Pallas, PT
- Kenneth Christopher Paz, DPT
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #01769)
- Pharmerica Drug Systems LLC (Pharmerica)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.