Eric P Noll, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1870 Issued in NE

Practice address

12905 W Dodge Rd
Omaha, NE 68154-2145

Phone

(402) 991-7888

NPI assigned

Aug 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Creighton University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Noll Spine Rehabilitation and Orthopedic Physical Therapy, Inc

  • Specialist
  • Omaha, NE
  • NPI 1063407518
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1669663076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "STE 242",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444487",
            "telephone_number": "402-991-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542145",
            "telephone_number": "402-991-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "ERIC",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "1870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER ID",
            "identifier": "1669663076",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250996-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMING PROVIDER NUMBE",
            "identifier": "277581",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Alejandro Nolasco
• Vicky Nolasco
• Anna Lanora Nolette, CPNP
• Noll Spine Rehabilitation and Orthopedic Physical Therapy, Inc
• Benjamin Matthew Noll, RP
• Melinda Claire Noller
• Sara H Nollette, APRN
• Joslyn Nolte
• Kelsey Lauren Nolte
• Adjovi N Nomenyo

• Physical Medicine & Rehabilitation Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Medicine & Rehabilitation Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.