Active NPI
Kenneth E Nolte, P.T.
- Physical Therapist
- Modesto, CA
National Provider Identifier
1245351428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12148
- Practice address
- 1521 N Carpenter Rd
Suite D1
Modesto, CA 95351-1147 - Phone
- (209) 578-3290
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- 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 | PT12148 | CA | Primary |
Addresses
Primary practice location
1521 N Carpenter Rd
Suite D1
Modesto, CA 95351-1147
Mailing address
1521 N Carpenter Rd Ste D1
Modesto, CA 95351-1217
Phone (209) 578-3290
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1245351428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N CARPENTER RD STE D1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511217",
"telephone_number": "209-578-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 N CARPENTER RD",
"address_2": "SUITE D1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511147",
"telephone_number": "209-578-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLTE",
"first_name": "KENNETH",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.