Individual provider Active NPI

Noelle M Eads, DPT

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1467876383
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9899 Issued in TN
Practice address
207 N Boone St Ste 300
Johnson City, TN 37604-5675
Phone
(423) 662-4100
Fax
(423) 205-2444
NPI assigned
Feb 12, 2014
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9899 TN
Physical Therapist 225100000X 9899 TN Primary

Addresses

Primary practice location

207 N Boone St Ste 300
Johnson City, TN 37604-5675

Mailing address

207 N Boone St Ste 300
Johnson City, TN 37604-5675
Phone (423) 662-4100

Other practice location 1

301 Med Tech Pkwy Ste 115
Johnson City, TN 37604-2364
Phone (423) 794-1300

Other practice location 2

210 W Pine St
Johnson City, TN 37604-6826
Phone (276) 356-8805

Other identifiers 1

IdentifierTypeStateIssuer
Q005452MedicaidTN

Other names 1

  • Noelle M Brown Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9899TNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empassion Health LLC Physical Therapist CurrentSince Sep 11, 2022 Accepting new patients
Wellmont Medical Associates Inc Past Accepting new patients

Organizations & group practices 2

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1467876383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST STE 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "423-662-4100",
            "fax_number": "423-205-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST STE 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "423-662-4100",
            "fax_number": "423-205-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Med Tech Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042364",
            "country_code": "US",
            "telephone_number": "423-794-1300",
            "fax_number": "423-794-1820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046826",
            "country_code": "US",
            "telephone_number": "276-356-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADS",
        "first_name": "NOELLE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "9899",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005452",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "BROWN",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.