Active NPI
Temple Noel, PTS
- Physical Therapy Assistant
- Portage, IN
National Provider Identifier
1508575812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06001861A
- Practice address
- 5706 Appledown Ave
Portage, IN 46368-3194 - Phone
- (219) 712-7175
- NPI assigned
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06001861A | IN | Primary |
Addresses
Primary practice location
5706 Appledown Ave
Portage, IN 46368-3194
Mailing address
5706 Appledown Ave
Portage, IN 46368-3194
Phone (219) 712-7175
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 |
|---|---|---|---|
| 06001861A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1508575812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 APPLEDOWN AVE",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683194",
"telephone_number": "219-712-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 APPLEDOWN AVE",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463683194",
"telephone_number": "219-712-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "TEMPLE",
"credential": "PTS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06001861A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, IN
- New Light Mental Health, LLC
- Candice J Newbury, PT
- Krista S Nguyen, NP-C
- Nhi Ee Group LLC
- Rachel Jaynu Nimely-Scott, APN
- Northern Indiana Dermatology and Skin Surgery Center
- Northern Indiana Occupational Medicine Services LLC
- Northshore Health Centers, Inc.
- Northshore Health Centers, Inc.
- Northshore Health Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.