Active NPI
Kyle Frederick Noble, PT
- Physical Therapist
- Boyne City, MI
National Provider Identifier
1265656680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009605
- Practice address
- 197 State St
Boyne City, MI 49712-1288 - Phone
- (231) 582-6365
- Fax
- (231) 582-3738
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 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 | 5501009605 | MI | Primary |
Addresses
Primary practice location
197 State St
Boyne City, MI 49712-1288
Mailing address
146 W Court St
Boyne City, MI 49712-9379
Phone (231) 582-5860
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009605 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Charlevoix Hospital | Past | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medicare Defined Swing Bed Hospital Unit
- Charlevoix, MI
- NPI 1164508891
-
dba Munson Healthcare Charlevoix Walk-In Clinic
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265656680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 W COURT ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497129379",
"telephone_number": "231-582-5860",
"fax_number": "231-582-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 STATE ST",
"city": "BOYNE CITY",
"state": "MI",
"postal_code": "497121288",
"telephone_number": "231-582-6365",
"fax_number": "231-582-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "KYLE",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boyne City, MI
- Ryan Curtis Moskal, DC
- Munson Healthcare Charlevoix Hospital (Munson Healthcare Boyne Area Medical Center)
- Munson Healthcare Charlevoix Hospital (Munson Healthcare Boyne Area Health Center)
- Noah R Nasser, RPH
- Carin L. Nielsen, M.D.
- Northern Michigan Surgical Suites, LLC
- Joel W Paga, DDS
- Park View Family Dentistry
- Passage to Empowerment Counseling, LLC
- Gabriel Denzel Paulsen, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.