Individual provider Active NPI

Heidi Noonan, P.T.

  • Physical Therapist
  • Stowe, VT
National Provider Identifier
1386730034
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0002657 Issued in VT
Practice address
4968 Mountain Rd
Stowe, VT 05672-4885
Phone
(802) 253-5694
NPI assigned
Oct 4, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1008799MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000576 VT Practitioner - Physical Therapist in Private Practice 7315919529 Reassigns benefits to 2 organizations

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
Stowe Physical Therapy and Pilates, PLLCGroup PAC ID 4183049760, 3 clinicians

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

LicenseStateTypeSpecialty
040-0002657VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lamoille Health Partners, Inc Current Accepting new patients
Lamoille Health Partners Inc. CurrentSince Dec 1, 2024 Accepting new patients
Stowe Physical Therapy & Pilates PLLC Physical Therapist CurrentSince Oct 15, 2023 Accepting new patients
Lamoille Health Partners, Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.