Active NPI
Tracy Noonan, DPT
- Physical Therapist
- Milton, MA
National Provider Identifier
1437203270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15203
- Practice address
- 225 Gun Hill St
Milton, MA 02186-4026 - Phone
- (617) 269-3001
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15203 | MA | Primary |
Addresses
Primary practice location
225 Gun Hill St
Milton, MA 02186-4026
Mailing address
225 Gun Hill St
Milton, MA 02186-4026
Phone (617) 269-3001
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 |
|---|---|---|---|
| 15203 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1437203270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 GUN HILL ST",
"city": "MILTON",
"state": "MA",
"postal_code": "021864026",
"telephone_number": "617-269-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 GUN HILL ST",
"city": "MILTON",
"state": "MA",
"postal_code": "021864026",
"telephone_number": "617-269-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "TRACY",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.