Douglas John Noonan, PT
Individual provider Active NPI Physical Therapist · Ocala, FL
NPI 1669659082 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1669659082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 6394 (FL)
- Practice address
- 616 SE 28TH Ave
Ocala, FL 34471-2747 - Phone
- (352) 694-1217
- Fax
- (352) 694-1217
- NPI assigned
- Jan 28, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 6394 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 6394 | FL | Yes |
Addresses
Primary practice location
616 SE 28TH Ave
Ocala, FL 34471-2747
Mailing address
616 SE 28TH Ave
Ocala, FL 34471-2747
Phone (352) 694-1217
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.