Individual provider Active NPI

Jon Timothy Noteboom, PT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1487984548
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3407 Issued in CO
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

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3407COMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.