Active NPI
Jonathan Noah
- Occupational Therapy Assistant
- Austin, TX
National Provider Identifier
1508691502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 465203
- Practice address
- 11110 Tom Adams Dr
Austin, TX 78753-3354 - Phone
- (512) 580-9882
- NPI assigned
- Sep 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 465203 | TX | Primary |
Addresses
Primary practice location
11110 Tom Adams Dr
Austin, TX 78753-3354
Mailing address
8801 McCann Dr Apt 244
Austin, TX 78757-6992
Phone (512) 775-0075
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 |
|---|---|---|---|
| 465203 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1508691502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 MCCANN DR APT 244",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576992",
"telephone_number": "512-775-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 TOM ADAMS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787533354",
"telephone_number": "512-580-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOAH",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-07",
"last_updated": "2024-09-07",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "465203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.