Active NPI
Judith Noteboom, PT
- Physical Therapist
- Durango, CO
National Provider Identifier
1720488984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0003272
- Practice address
- 1485 Florida Rd Ste 203C
Durango, CO 81301-6860 - Phone
- (970) 764-4149
- Fax
- (970) 764-4150
- NPI assigned
- Aug 25, 2014
- Last updated
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 0003272 | CO | Primary |
Addresses
Primary practice location
1485 Florida Rd Ste 203C
Durango, CO 81301-6860
Mailing address
1485 Florida Rd Ste 203C
Durango, CO 81301-6860
Phone (970) 764-4149
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003272 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1720488984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 FLORIDA RD STE 203C",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016860",
"telephone_number": "970-764-4149",
"fax_number": "970-764-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 FLORIDA RD STE 203C",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016860",
"telephone_number": "970-764-4149",
"fax_number": "970-764-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTEBOOM",
"first_name": "JUDITH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0003272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
- Julie Ninis, NCBTMB
- Alexandra Noble, BCBA
- Jennifer M Nolan, ONC
- North Bay Child and Family Counseling, Inc. (North Bay Counseling)
- Dylan Norton, MD
- Antoinette Hatala Nowakowski, DC, DABCO
- Nurtured Counseling and Massage, LLC
- Nurturing Hearts LLC (Nurturing Hearts)
- Casey O'Donnell, PTA
- Brigid O'Holleran, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.