Amanda R Noll

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05155 Issued in KS

Practice address

400 W 4TH St
McPherson, KS 67460-2300

Phone

(620) 241-4201

Fax

(620) 241-4210

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT LLC 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced PT LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789

  KS, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced PT LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD
• Advanced PT LLC

  • Physical Therapy Clinic/Center
  • Sterling, KS
  • NPI 1710292537

  Physical Therapist

  NPD
• Advanced PT, LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1043805492
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1730601808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602300",
            "telephone_number": "620-241-4201",
            "fax_number": "620-241-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "AMANDA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Nason, CRNA
• Jamie Nichole Nelson, PHARM D
• New Beginnings of McPherson, Inc.
• New Leaf Creative Counseling LLC
• Rachel Nichols, M.D.
• Bailee Anne Norton, MD
• Benjamin John Nye, LPC
• Alyssa O'Connor
• Katharine Rose O'Connor, OTR/L
• Julie Ann Olson, OTA

• All providers in McPherson, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.