Individual provider Active NPI

William Lee Noonan, PT

  • Physical Therapist
  • Fairbury, IL
National Provider Identifier
1952319154
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014722 Issued in IL
Practice address
215 W Locust St
Fairbury, IL 61739-1550
Phone
(815) 692-2270
Fax
(815) 692-2280
NPI assigned
Aug 3, 2006
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 070014722 IL Primary

Addresses

Primary practice location

215 W Locust St
Fairbury, IL 61739-1550

Mailing address

215 W Locust St
Fairbury, IL 61739-1550
Phone (815) 692-2270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000732 IL Practitioner - Physical Therapist in Private Practice 1052335577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortese Foot and Ankle Clinic PCGroup PAC ID 9739166109, 4 clinicians
Turning Point Therapies IncGroup PAC ID 4880750207, 3 clinicians

Practice addresses (Care Compare)

1607 Visa Dr
Suite 5B
Normal, IL 61761-6160
Phone (309) 452-3000

215 W Locust St
Fairbury, IL 61739-1550
Phone (815) 692-2270

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as group
Quality
95
Improvement activities
40
Cost
70.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Spine and Pain Center, LTD. CurrentSince Jan 15, 2022 Accepting new patients
Turning Point Therapies Inc Physical Therapist CurrentSince Jan 7, 2009 Accepting new patients
Cortese Foot and Ankle Clinic, P.C. CurrentSince Jan 19, 2009 Accepting new patients
McLean County Foot & Ankle, LTD. Past Accepting new patients

Locations

2502 E Empire St
Bloomington, IL 61704
Phone (309) 662-6120

3801 General Electric Rd
Ste 4
Bloomington, IL 61704
Phone (309) 319-2341

215 W Locust St
Fairbury, IL 61739
Phone (815) 692-2270

1607 Visa Dr
#5
Normal, IL 61761

1607 Visa Dr
Ste 5B
Normal, IL 61761
Phone (309) 452-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11124/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1952319154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W LOCUST ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391550",
            "telephone_number": "815-692-2270",
            "fax_number": "815-692-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W LOCUST ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391550",
            "telephone_number": "815-692-2270",
            "fax_number": "815-692-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.