Active NPI
Shelly Noll, LPTA
- Physical Therapy Assistant
- Marietta, OH
National Provider Identifier
1669355772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6498
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6498 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devola Orthopedic Center of Sports Medicine, Inc. | Past | Accepting new patients | |
| Marietta Memorial Hospital | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Marietta, OH
- NPI 1497791388
-
- Rural Health Clinic/Center
- Woodsfield, OH
- NPI 1962106328
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.