Individual provider Active NPI

Joseph Noack

  • Occupational Therapist
  • Spring, TX
National Provider Identifier
1942434469
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106619 Issued in TX
Practice address
16835 Deer Creek Dr
Suite 120
Spring, TX 77379-4968
Phone
(281) 379-4373
Fax
(281) 655-0762
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 106619 TX Primary

Addresses

Primary practice location

16835 Deer Creek Dr
Suite 120
Spring, TX 77379-4968

Mailing address

16835 Deer Creek Dr
Suite 120
Spring, TX 77379-4968
Phone (281) 379-4373

Other identifiers 1

IdentifierTypeStateIssuer
17600601MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106619TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Speech & Language Center, LP 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1942434469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 DEER CREEK DR",
            "address_2": "SUITE 120",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794968",
            "telephone_number": "281-379-4373",
            "fax_number": "281-655-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16835 DEER CREEK DR",
            "address_2": "SUITE 120",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794968",
            "telephone_number": "281-379-4373",
            "fax_number": "281-655-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOACK",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17600601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.