Active NPI
Paul Edward Noakes Jr., OTR/L
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1396041992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60347111
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-9697 - Phone
- (253) 968-1110
- NPI assigned
- Jan 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 60347111 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-9697
Mailing address
13415 104TH Avenue CT NW
Gig Harbor, WA 98329-7283
Phone (360) 649-2932
Other practice location 1
9040 Jackson Ave
Tacoma, WA 98431-9697
Phone (253) 968-1110
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 |
|---|---|---|---|
| 60347111 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1396041992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13415 104TH AVENUE CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983297283",
"telephone_number": "360-649-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984319697",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984319697",
"country_code": "US",
"telephone_number": "253-968-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOAKES",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-31",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60347111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.