Active NPI
Jon Timothy Noteboom, PT
- Physical Therapist
- Denver, CO
National Provider Identifier
1487984548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3407
- Practice address
- 3333 Regis Blvd
School of Physical Therapy, G-4
Denver, CO 80221-1154 - Phone
- (303) 458-4268
- Fax
- (303) 964-5474
- NPI assigned
- Jan 12, 2010
- Sex
- Male
- 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 | 3407 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 3407 | CO |
Addresses
Primary practice location
3333 Regis Blvd
School of Physical Therapy, G-4
Denver, CO 80221-1154
Mailing address
3333 Regis Blvd
School of Physical Therapy, G-4
Denver, CO 80221-1154
Phone (303) 458-4268
Other names 1
- Tim Noteboom
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 |
|---|---|---|---|
| 3407 | CO | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regis University | Physical Therapist | Past | Accepting new patients |
| Regis University | 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 and National Provider Directory roles.
-
- Student Health Clinic/Center
- Denver, CO
- NPI 1225114705
-
- Physical Therapist
- Denver, CO
- NPI 1427350487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1487984548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 REGIS BLVD",
"address_2": "SCHOOL OF PHYSICAL THERAPY, G-4",
"city": "DENVER",
"state": "CO",
"postal_code": "802211154",
"telephone_number": "303-458-4268",
"fax_number": "303-964-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 REGIS BLVD",
"address_2": "SCHOOL OF PHYSICAL THERAPY, G-4",
"city": "DENVER",
"state": "CO",
"postal_code": "802211154",
"telephone_number": "303-458-4268",
"fax_number": "303-964-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTEBOOM",
"first_name": "JON",
"middle_name": "TIMOTHY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-12",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "3407",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "3407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIM",
"last_name": "NOTEBOOM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.