Individual provider Active NPI

Noah Christopher Lee Kueber, DPT

  • Orthopedic Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1366229221
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501303003 Issued in MI
Practice address
35735 Mound Rd Ste 101
Sterling Heights, MI 48310-4728
Phone
(586) 510-7997
NPI assigned
Sep 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X 5501303003 MI Primary

Addresses

Primary practice location

35735 Mound Rd Ste 101
Sterling Heights, MI 48310-4728

Mailing address

46648 Pinehurst Cir
Northville, MI 48168-8488
Phone (248) 719-9029

Other practice location 1

36622 Five Mile Rd Ste 102
Livonia, MI 48154-1900
Phone (734) 542-9770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927004040 MI Practitioner - Physical Therapist in Private Practice 2264886068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC Current Accepting new patients
Mendelson Orthopedics PC CurrentSince Sep 18, 2023 Accepting new patients
Mendelson Orthopedics PC CurrentSince Sep 18, 2023 Accepting new patients
Mendelson Orthopedics PC Orthopedic Past Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

36622 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 542-9770

36622 5 Mile Rd
#102
Livonia, MI 48154

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

35735 Mound Rd
Ste 101
Sterling Heights, MI 48310
Phone (586) 510-7997

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

5107 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1366229221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46648 PINEHURST CIR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688488",
            "telephone_number": "248-719-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-510-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36622 Five Mile Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541900",
            "country_code": "US",
            "telephone_number": "734-542-9770",
            "fax_number": "734-542-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUEBER",
        "first_name": "NOAH",
        "middle_name": "CHRISTOPHER LEE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501303003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.