Active NPI
Mark Alfred Noble, PT, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31415
- Practice address
- 17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2031 - Phone
- (602) 547-1836
- NPI assigned
- Jul 28, 2020
- Sex
- Male
- 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 | LPT-31415 | AZ | Primary |
Addresses
Primary practice location
17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2031
Mailing address
17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2031
Phone (602) 547-1836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPT-31415 | Other | AZ | ARIZONA STATE BOARD OF PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 N Switzer Canyon Dr
Suite 400
Flagstaff, AZ 86001-4851
Phone (928) 440-3106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31415 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proof Physical Therapy and Performance, LLC | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Past | Accepting new patients | |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
460 N Switzer Canyon Dr
Ste 400
Flagstaff, AZ 86001
Phone (928) 440-3106
1325 N Litchfield Rd
Ste 140
Goodyear, AZ 85395
Phone (623) 440-5487
9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654
17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
9150 W Indian School Rd
Ste 117
Phoenix, AZ 85037
Phone (623) 872-9949
2827 W Peoria Ave
Ste B112
Phoenix, AZ 85029
Phone (602) 610-8665
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234
790 Remington Blvd
Bolingbrook, IL 60440
Organizations & group practices 5
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.
-
- Orthopedic Physical Therapist
- Flagstaff, AZ
- NPI 1841736618
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518925569
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1902415607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17233 N HOLMES BLVD STE 1650",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532031",
"telephone_number": "602-547-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17233 N HOLMES BLVD STE 1650",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532031",
"telephone_number": "602-547-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "MARK",
"middle_name": "ALFRED",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-28",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF PHYSICAL THERAPY",
"identifier": "LPT-31415",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.