Noelle Christi Fenske, M.S, P.T, C.M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011411 Issued in MI

Practice address

16200 19 Mile
Clinton TWP, MI 48038

Phone

(586) 416-2065

Fax

(586) 228-7159

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Noelle Christi Schneider P.T. Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Great Lakes Pain Consult PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Bay City, MI
  • NPI 1255370094

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1427015148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 19 MILE BOX 380713",
            "address_2": "MACOMB OAKLAND REGIONAL CNT.",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-416-2065",
            "fax_number": "586-228-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 19 MILE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-416-2065",
            "fax_number": "586-228-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSKE",
        "first_name": "NOELLE",
        "middle_name": "CHRISTI",
        "credential": "M.S, P.T, C.M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "650Z910730",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4472592",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "SCHNEIDER P.T.",
            "middle_name": "CHRISTI",
            "credential": "M.S. P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family Chiropractor P.C.
• Family Medicine Associates of Macomb PC
• Family Practice Physicians
• Fedor Opochinsky M.D.
• Christina M. Felcyn, MA, LPC, NCC
• Rachael Lyn Ferguson
• Reydante Galve Fermin, DDS
• Emily Fetherolf
• Steven P Feyers, CRNA
• Amy Lynn Finfrock, BS, RSST

• Physical Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.