Individual provider Active NPI

Gina Marie Martinelli Noble, MPT, ATC

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1225051386
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 013580L Issued in PA
Practice address
525 W Chester Pike
Suite 202
Havertown, PA 19083-4500
Phone
(610) 446-8410
Fax
(610) 446-8554
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 013580L PA Primary

Addresses

Primary practice location

525 W Chester Pike
Suite 202
Havertown, PA 19083-4500

Mailing address

1161 McDermott Dr
West Chester, PA 19380-4064
Phone (484) 356-9401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000489 PA Practitioner - Physical Therapist in Private Practice 6103074745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

1161 McDermott Dr
Suite 250
West Chester, PA 19380-4064
Phone (484) 356-9401

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 013580LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince Aug 7, 2012 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince Aug 7, 2012 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

2004 Sproul Rd
Ste 100
Broomall, PA 19008
Phone (610) 353-0800

525 W Chester Pike
Ste 202
Havertown, PA 19083
Phone (610) 446-8410

1161 McDermott Dr
West Chester, PA 19380
Phone (484) 356-9401

1161 McDermott Dr
Ste 250
West Chester, PA 19380
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: gina.noble.1@22724.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1225051386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 MCDERMOTT DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804064",
            "telephone_number": "484-356-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE 202",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834500",
            "telephone_number": "610-446-8410",
            "fax_number": "610-446-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI NOBLE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 013580L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

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

Verify at the official NPI Registry.