Individual provider Active NPI

Charlene Noto, PTA

  • Physical Therapy Assistant
  • Hazlet, NJ
National Provider Identifier
1417227836
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QA00720800 Issued in NJ
Practice address
1 Bethany Rd BLDG 4
Suite 53, Bethany Commons
Hazlet, NJ 07730-1667
Phone
(732) 335-8111
Fax
(732) 335-8118
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QA00720800 NJ Primary

Addresses

Primary practice location

1 Bethany Rd BLDG 4
Suite 53, Bethany Commons
Hazlet, NJ 07730-1667

Mailing address

1 Bethany Rd BLDG 4
Suite 53, Bethany Commons
Hazlet, NJ 07730-1667
Phone (732) 335-8111

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

LicenseStateTypeSpecialty
40QA00720800NJMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1417227836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD BLDG 4",
            "address_2": "SUITE 53, BETHANY COMMONS",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-335-8111",
            "fax_number": "732-335-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD BLDG 4",
            "address_2": "SUITE 53, BETHANY COMMONS",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-335-8111",
            "fax_number": "732-335-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTO",
        "first_name": "CHARLENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QA00720800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.