Individual provider Active NPI

Noam Eitan, PT

  • Physical Therapist
  • Brookline, MA
National Provider Identifier
1881065886
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL2336 Issued in MA
Practice address
10 Sewall Ave Ste 211
Brookline, MA 02446-5154
Phone
(617) 890-6026
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 PTL2336 MA Primary

Addresses

Primary practice location

10 Sewall Ave Ste 211
Brookline, MA 02446-5154

Mailing address

38 Park Avenue Ext
Arlington, MA 02474-2653
Phone (443) 889-8347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180115000001 MA Practitioner - Physical Therapist in Private Practice 6204137383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Health 360 LLCGroup PAC ID 8325441603, 14 clinicians

Practice addresses (Care Compare)

289 Great Rd
Suite 306
Acton, MA 01720-4766
Phone (508) 667-0114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL2336MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Health 360 LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Innherself Pelvic Health LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

289 Great Rd
Ste 306
Acton, MA 01720
Phone (508) 667-0114

10 Sewall Ave
Ste 211
Brookline, MA 02446
Phone (617) 890-6026

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1881065886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PARK AVENUE EXT",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024742653",
            "telephone_number": "443-889-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SEWALL AVE STE 211",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465154",
            "telephone_number": "617-890-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITAN",
        "first_name": "NOAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.