Individual provider Active NPI

Shelly Noll, LPTA

  • Physical Therapy Assistant
  • Marietta, OH
National Provider Identifier
1669355772
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6498 Issued in OH
Practice address
158 Gross St
Marietta, OH 45750-2031
Phone
(740) 374-1422
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6498 OH Primary

Addresses

Primary practice location

158 Gross St
Marietta, OH 45750-2031

Mailing address

47542 Sarahsville Rd
Caldwell, OH 43724-9728

Other practice location 1

20 University Estates Blvd Ste 20
Athens, OH 45701-2838
Phone (740) 589-7425

Other practice location 2

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Other practice location 3

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

Other practice location 4

1804 Washington Blvd Ste E
Belpre, OH 45714-3501
Phone (740) 423-3084

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
6498OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Devola Orthopedic Center of Sports Medicine, Inc. PastSince Aug 3, 2025 Accepting new patients
Marietta Memorial Hospital PastSince Aug 3, 2025 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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1669355772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47542 SARAHSVILLE RD",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 GROSS ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502031",
            "telephone_number": "740-374-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 University Estates Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012838",
            "country_code": "US",
            "telephone_number": "740-589-7425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-374-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501323",
            "country_code": "US",
            "telephone_number": "740-568-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 Washington Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457143501",
            "country_code": "US",
            "telephone_number": "740-423-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLL",
        "first_name": "SHELLY",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.