Individual provider Active NPI

Noelle E Polk, OT

  • Occupational Therapist
  • Warrenville, IL
National Provider Identifier
1437208659
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.004374 Issued in IL
Practice address
27650 Ferry Rd
Warrenville, IL 60555-3845
Phone
(630) 225-2663
Fax
(630) 225-2399
NPI assigned
Jan 9, 2007
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.004374 IL Primary

Addresses

Primary practice location

27650 Ferry Rd
Warrenville, IL 60555-3845

Mailing address

27650 Ferry Rd
Warrenville, IL 60555-3845
Phone (630) 225-2663

Other names 1

  • Noelle E Beddow Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001135 CO Practitioner - Occupational Therapist in Private Practice 5799787958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covell Care and Rehabilitation LLCGroup PAC ID 9335223429, 60 clinicians
Thrive! Therapy LLCGroup PAC ID 4981114089, 13 clinicians

Practice addresses (Care Compare)

Windsor, CO 80550
Phone (970) 204-4331

9521 Cove Creek Dr
Highlands Ranch, CO 80129-5745
Phone (303) 945-5106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.004374ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Covell Care and Rehabilitation, LLC CurrentSince Aug 15, 2022 Accepting new patients
Trager Healing LLC Past Accepting new patients
Oad Orthopaedics, LTD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1437208659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27650 FERRY RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553845",
            "telephone_number": "630-225-2663",
            "fax_number": "630-225-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27650 FERRY RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553845",
            "telephone_number": "630-225-2663",
            "fax_number": "630-225-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "NOELLE",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.004374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "BEDDOW",
            "middle_name": "E",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.