Individual provider Active NPI

Victor Dale Nobles

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1689950099
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018432 Issued in IL
Practice address
6300 Westpark Dr Ste 212
Houston, TX 77057-7207
Phone
(713) 339-2273
Fax
(713) 339-1130
NPI assigned
Oct 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018432 IL Primary

Addresses

Primary practice location

6300 Westpark Dr Ste 212
Houston, TX 77057-7207

Mailing address

2900 Weslayan St
Ste 545
Houston, TX 77027-5369
Phone (281) 940-9423

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018432ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakshmiba LLC Physical Therapist CurrentSince Jan 29, 2021 Accepting new patients
Medpro Healthcare Staffing Past Accepting new patients

Locations

2900 Weslayan St
Ste 545
Houston, TX 77027
Phone (281) 940-9423

1010 Travis St
Ste 800
Houston, TX 77002
Phone (281) 940-9423

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": "1319932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1689950099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESLAYAN ST",
            "address_2": "STE 545",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275369",
            "telephone_number": "281-940-9423",
            "fax_number": "713-969-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-339-2273",
            "fax_number": "713-339-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "VICTOR",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-30",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.