Individual provider Active NPI

Noelle Stroobants, DPT

  • Physical Therapist
  • Fond Du Lac, WI
National Provider Identifier
1699141754
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
103 S Pioneer Rd Ste 100
Fond Du Lac, WI 54935-3800
Phone
(920) 922-7776
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 Primary

Addresses

Primary practice location

103 S Pioneer Rd Ste 100
Fond Du Lac, WI 54935-3800

Mailing address

103 S Pioneer Rd Ste 100
Fond Du Lac, WI 54935-3800
Phone (920) 922-7776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019001789 WI Practitioner - Physical Therapist in Private Practice 3779971098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 S Pioneer Rd
Suite 100
Fond Du Lac, WI 54935-3800
Phone (920) 922-7776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Rehabilitation S.C. Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Back in Action Rehabilitation Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Back in Action Rehabilitation, S.C. Physical Therapist Current Accepting new patients
Back in Action Rehabilitation, S.C. Physical Therapist Past Accepting new patients
Taylored Rehab, LLC Physical Therapist Past Accepting new patients
Rehab Arisces Home Health Services Past Accepting new patients

Locations

103 S Pioneer Rd
Ste 100
Fond du Lac, WI 54935
Phone (920) 922-7776

1057 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-6700

N8218 State Road 28
Mayville, WI 53050
Phone (920) 387-9000

1401 Milwaukee Dr
New Holstein, WI 53061
Phone (920) 898-4440

Organizations & group practices 6

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1699141754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD STE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353800",
            "telephone_number": "920-922-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD STE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353800",
            "telephone_number": "920-922-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROOBANTS",
        "first_name": "NOELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.