Individual provider Active NPI

Mark Alfred Noble, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1902415607
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31415 Issued in AZ
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

Updated by the provider on Sep 14, 2020

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 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

IdentifierTypeStateIssuer
LPT-31415OtherAZARIZONA STATE BOARD OF PHYSICAL THERAPY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923000815 AZ Practitioner - Physical Therapist in Private Practice 0840619953 Reassigns benefits to 3 organizations

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
Proof Physical Therapy and Performance LLCGroup PAC ID 2466736400, 4 clinicians

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

LicenseStateTypeSpecialty
LPT-31415AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proof Physical Therapy and Performance, LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
Strength Training Inc PastSince Sep 6, 2020 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.

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.

Verify at the official NPI Registry.