Active NPI
Noelle Christine Buell, BS,MS,PT
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1700823341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006700
- Practice address
- 407 14TH Ave SE
Puyallup, WA 98371-0047 - Phone
- (253) 697-2065
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00006700 | WA | Primary |
Addresses
Primary practice location
407 14TH Ave SE
Puyallup, WA 98371-0047
Mailing address
PO Box 460
Puyallup, WA 98371-0047
Phone (253) 697-2065
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9605BU | Other | WA | REGENCE |
| 8930574 | Other | WA | L&I CRIME VICTIM PRGM |
| 8384794 | Medicaid | WA | |
| 181548 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- Noelle Christine Draggoo
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
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00006700 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Sports and Spine Rehabilitation PS | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Puyallup, WA
- NPI 1558310375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700823341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710047",
"telephone_number": "253-697-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 14TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710047",
"telephone_number": "253-697-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUELL",
"first_name": "NOELLE",
"middle_name": "CHRISTINE",
"credential": "BS,MS,PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "9605BU",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIM PRGM",
"identifier": "8930574",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8384794",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "181548",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NOELLE",
"last_name": "DRAGGOO",
"middle_name": "CHRISTINE",
"credential": "BS,MS,PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.