Active NPI
Juliet Noel, RPT
- Physical Therapist
- Wynne, AR
National Provider Identifier
1740244847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1178
- Practice address
- 1871 Falls Blvd. North
Wynne, AR 72396 - Phone
- (870) 208-8989
- Fax
- (870) 208-8107
- NPI assigned
- Apr 14, 2006
- Last updated
- Aug 16, 2018
- 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 | PT1178 | AR | Primary |
Addresses
Primary practice location
1871 Falls Blvd. North
Wynne, AR 72396
Mailing address
1871 Falls Blvd. North
Wynne, AR 72396
Phone (870) 208-8989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133274721 | Medicaid | AR | |
| 5U090 | Other | AR | BCBS INDIV PROV # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT1178 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boaz & Associates, Inc. | 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, 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": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1740244847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 FALLS BLVD. NORTH",
"city": "WYNNE",
"state": "AR",
"postal_code": "72396",
"telephone_number": "870-208-8989",
"fax_number": "870-208-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 FALLS BLVD. NORTH",
"city": "WYNNE",
"state": "AR",
"postal_code": "72396",
"telephone_number": "870-208-8989",
"fax_number": "870-208-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "JULIET",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT1178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133274721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIV PROV #",
"identifier": "5U090",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wynne, AR
- Neall Jackson DDS PA (Puryear Jackson Family Dentistry)
- Rhonda Nelson
- Zachary Grant Nethercutt, CHILD/ ADULT CIS
- Hong-Van Nguyen, MD
- Cody Don Nickles, PT
- Michael O. Norris, OD
- Northeast Arkansas Community Mental Health Center (MidSouth Health Systems)
- Northeast Arkansas Community Mental Health Center Inc (MidSouth Health Systems)
- Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems)
- Jeremiah Nugent, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.