Active NPI
Noelle Wiggins
- Physical Therapist
- Mansfield, TX
National Provider Identifier
1467769893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 200 E Debbie LN
Mansfield, TX 76063-9211 - Phone
- (817) 437-2586
- NPI assigned
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1311439 | TX | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
200 E Debbie LN
Mansfield, TX 76063-9211
Mailing address
925 Kingston Dr
Mansfield, TX 76063-2659
Phone (817) 437-2586
Other names 1
- Noelle Leger
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1311439 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1467769893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 KINGSTON DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760632659",
"telephone_number": "817-437-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E DEBBIE LN",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639211",
"telephone_number": "817-437-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "NOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1311439",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOELLE",
"last_name": "LEGER",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.