Active NPI
Noelle M Eads, DPT
- Physical Therapist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9899
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005452 | Medicaid | TN |
Other names 1
- Noelle M Brown
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9899 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empassion Health LLC | Physical Therapist | Current | 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.
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Abingdon, VA
- NPI 1174808216
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
- Christina L Dzioba, FNP, WHNP-BC, C-EFM
- E C Rider LLC
- E.W. Cooper D.D.S
- David Anderson Eades, PHARM.D.
- Emily Eads, CRNA
- Stephanie Perrett Eads, APRN, BC
- Ear Nose & Throat Associates PC
- Ear Nose and Throat Associates, P.C.
- Megan Elizabeth Earls, MS, RD
- Earth Remedy Optimal Wellness LLC (Soul Journey Bliss Center)
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.