Active NPI
Melissa Ada Noeth, DPT
- Physical Therapist
- Palm Coast, FL
National Provider Identifier
1235569542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26180
- Practice address
- 520 Palm Coast Pkwy SW
Ste 101
Palm Coast, FL 32137-4743 - Phone
- (386) 446-4101
- Fax
- (386) 447-2161
- NPI assigned
- Nov 22, 2013
- 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 | 26180 | FL | Primary |
Addresses
Primary practice location
520 Palm Coast Pkwy SW
Ste 101
Palm Coast, FL 32137-4743
Mailing address
520 Palm Coast Pkwy SW
Ste 101
Palm Coast, FL 32137-4743
Phone (858) 966-5406
Other names 1
- Melissa Ada Hull
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26180 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
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.
-
- Children's Rehabilitation Hospital
- San Diego, CA
- NPI 1174907216
-
- Children's Rehabilitation Hospital
- San Diego, CA
- NPI 1184008229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1235569542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PALM COAST PKWY SW",
"address_2": "STE 101",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374743",
"telephone_number": "858-966-5406",
"fax_number": "858-966-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 PALM COAST PKWY SW",
"address_2": "STE 101",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374743",
"telephone_number": "386-446-4101",
"fax_number": "386-447-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOETH",
"first_name": "MELISSA",
"middle_name": "ADA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HULL",
"middle_name": "ADA",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.