Individual provider Active NPI

Noelle Natale Madraso, PT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1689681199
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2958 Issued in NV
Practice address
10200 Timberwolf Dr
Reno, NV 89523-9664
Phone
(775) 440-3206
Fax
(775) 204-9774
NPI assigned
Aug 1, 2006
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2958 NV Primary

Addresses

Primary practice location

10200 Timberwolf Dr
Reno, NV 89523-9664

Mailing address

PO Box 33296
Reno, NV 89533-3296
Phone (775) 440-3706

Other practice location 1

5016 Lower Honoapiilani Rd
Lahaina, HI 96761-9109
Phone (808) 268-5616

Other identifiers 1

IdentifierTypeStateIssuer
6617247OtherNVAETNA

Other names 1

  • Noelle Marie Natale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200612001449 NV Practitioner - Physical Therapist in Private Practice 2365480332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy on the Go LLC Single Specialty CurrentSince Feb 11, 2020 Accepting new patients
Warfighter's Clinic Past Accepting new patients
Elam Sports, Inc Single Specialty PastSince Sep 13, 2020 Accepting new patients
Elam Sports, Inc. Single Specialty Past Accepting new patients
KPT Corporation Single Specialty Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1689681199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33296",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895333296",
            "telephone_number": "775-440-3706",
            "fax_number": "775-204-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TIMBERWOLF DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239664",
            "telephone_number": "775-440-3206",
            "fax_number": "775-204-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 Lower Honoapiilani Rd",
            "address_purpose": "LOCATION",
            "city": "Lahaina",
            "state": "HI",
            "postal_code": "967619109",
            "country_code": "US",
            "telephone_number": "808-268-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRASO",
        "first_name": "NOELLE",
        "middle_name": "NATALE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6617247",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "NATALE",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.