Individual provider Active NPI

Morgan Nicole Noble, DPT

  • Physical Therapist
  • South Portland, ME
National Provider Identifier
1417436759
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5201 Issued in ME
Practice address
119 Gannett Dr
South Portland, ME 04106-6942
Phone
(207) 773-0040
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 PT5201 ME Primary

Addresses

Primary practice location

119 Gannett Dr
South Portland, ME 04106-6942

Mailing address

119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 773-0040

Other practice location 1

5 Bucknam Rd Ste 1D
Falmouth, ME 04105-1208
Phone (207) 781-1551

Other practice location 2

584 Roosevelt Trl Unit 2
Windham, ME 04062-4983
Phone (207) 662-2828

Other practice location 3

335 Brighton Ave Ste 200
Portland, ME 04102-2362
Phone (207) 662-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918003502 ME Practitioner - Physical Therapist in Private Practice 6507117348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 3, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 3, 2023 Accepting new patients
Mainehealth Physical Therapist Past Accepting new patients

Locations

5 Bucknam Rd
Ste 1D
Falmouth, ME 04105
Phone (207) 781-1551

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040

584 Roosevelt Trl
Unit 2
Windham, ME 04062
Phone (207) 661-2828

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1417436759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bucknam Rd Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041051208",
            "country_code": "US",
            "telephone_number": "207-781-1551",
            "fax_number": "207-781-1552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 Roosevelt Trl Unit 2",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624983",
            "country_code": "US",
            "telephone_number": "207-662-2828",
            "fax_number": "207-662-2854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Brighton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022362",
            "country_code": "US",
            "telephone_number": "207-662-8600",
            "fax_number": "207-662-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MORGAN",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.