Active NPI
Noah Sebastian Aitel, DPT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1972241107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302462
- Practice address
- 350 Frank H Ogawa PLZ Ste 300
Oakland, CA 94612-2036 - Phone
- (510) 893-7463
- NPI assigned
- May 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 302462 | CA | Primary |
Addresses
Primary practice location
350 Frank H Ogawa PLZ Ste 300
Oakland, CA 94612-2036
Mailing address
2335 Derby St
Berkeley, CA 94705-1104
Phone (831) 359-6324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2322 Powell St
Emeryville, CA 94608-1738
Phone (510) 653-5151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302462 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Stac Physical Therapy Emeryville, Inc. | Current | Accepting new patients |
Locations
2322 Powell St
Emeryville, CA 94608
Phone (510) 653-5151
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
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.
-
- Orthopedic Physical Therapist
- Emeryville, CA
- NPI 1326527730
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1972241107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 DERBY ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051104",
"telephone_number": "831-359-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FRANK H OGAWA PLZ STE 300",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122036",
"telephone_number": "510-893-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AITEL",
"first_name": "NOAH",
"middle_name": "SEBASTIAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-26",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.