Noah William Tucker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28841 Issued in MD

Practice address

6955 Oakland Mills Rd Ste E
Columbia, MD 21045-5849

Phone

(410) 381-2999

NPI assigned

Oct 16, 2018

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Physical Therapy and Wellness LLCGroup PAC ID 4789860131, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sage Physical Therapy & Wellness LLC

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1225504426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 BASFORD RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037817",
            "telephone_number": "301-524-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 OAKLAND MILLS RD STE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455849",
            "telephone_number": "410-381-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 Basford Rd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217037817",
            "country_code": "US",
            "telephone_number": "301-524-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "NOAH",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28841",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Denise Tubman
• Alexcia Tucker
• Ashley Tucker
• Golda U Tucker, CRNP
• Michelle Renee Tucker, MSW
• Sarah Katherine Tucker
• Sydney Elizabeth Tucker, MD
• Francois Tueguo
• Ryheam D Tull
• Samantha R Tulloch Benedict, BCBA

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.