Individual provider Active NPI

Patricia Lou Noel, PT, SCD

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1235218322
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4054 Issued in CO
Practice address
600 N Grant St Ste 208
Denver, CO 80203-3527
Phone
(303) 832-5577
Fax
(303) 996-0390
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 4054 CO Primary

Addresses

Primary practice location

600 N Grant St Ste 208
Denver, CO 80203-3527

Mailing address

1601 S Logan St
Denver, CO 80210-2603
Phone (303) 478-2085

Other practice location 1

1601 S Logan St
Denver, CO 80210-2603
Phone (303) 478-2085

Other names 1

  • Dr. Patty L Pennell Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000287 CO Practitioner - Physical Therapist in Private Practice 1456346931 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4054COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 1, 2022 Accepting new patients
Back to Motion Physical Therapy PC Physical Therapist CurrentSince Oct 16, 2002 Accepting new patients
Back to Motion Physical Therapy PC Physical Therapist CurrentSince Apr 1, 1997 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

600 N Grant St
Ste 208
Denver, CO 80203
Phone (303) 832-5577

616 N Washington St
Ste 100
Denver, CO 80203
Phone (303) 832-5577

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

7821 W 38th Ave
Ste 101
Wheat Ridge, CO 80033
Phone (303) 330-0010

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1235218322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102603",
            "telephone_number": "303-478-2085",
            "fax_number": "303-996-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GRANT ST STE 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033527",
            "telephone_number": "303-832-5577",
            "fax_number": "303-996-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 S Logan St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802102603",
            "country_code": "US",
            "telephone_number": "303-478-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOEL",
        "first_name": "PATRICIA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "PT, SCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTY",
            "last_name": "PENNELL",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PT SCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.