Active NPI
Heidi Noonan, P.T.
- Physical Therapist
- Stowe, VT
National Provider Identifier
1386730034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040-0002657
- Practice address
- 4968 Mountain Rd
Stowe, VT 05672-4885 - Phone
- (802) 253-5694
- NPI assigned
- Oct 4, 2006
- Last updated
- Nov 5, 2007
- 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 | 040-0002657 | VT | Primary |
Addresses
Primary practice location
4968 Mountain Rd
Stowe, VT 05672-4885
Mailing address
232 Mudgett Farm Rd
Jeffersonville, VT 05464-9309
Phone (802) 644-5565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008799 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Vermont College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5217 Stagecoach Rd
Morristown, VT 05661-9259
Phone 8022797767201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040-0002657 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamoille Health Partners, Inc | Current | Accepting new patients | |
| Lamoille Health Partners Inc. | Current | Accepting new patients | |
| Stowe Physical Therapy & Pilates PLLC | Physical Therapist | Current | Accepting new patients |
| Lamoille Health Partners, Inc | Current | Accepting new patients |
Locations
609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDHBAA
Organizations & group practices 5
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.
-
- Physical Therapist
- Morristown, VT
- NPI 1568086023
-
dba Appleseed Pediatrics
- Pediatrics Physician
- Morrisville, VT
- NPI 1124436332
-
- Physical Therapist
- Stowe, VT
- NPI 1710931944
-
- Federally Qualified Health Center (FQHC)
- Cambridge, VT
- NPI 1538945001
-
- Federally Qualified Health Center (FQHC)
- Morrisville, VT
- NPI 1639127681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1386730034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 MUDGETT FARM RD",
"city": "JEFFERSONVILLE",
"state": "VT",
"postal_code": "054649309",
"telephone_number": "802-644-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4968 MOUNTAIN RD",
"city": "STOWE",
"state": "VT",
"postal_code": "056724885",
"telephone_number": "802-253-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "HEIDI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040-0002657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008799",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stowe, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.