Provider Demographics
NPI:1639590805
Name:NOE, STEPHEN (DPT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:NOE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 ALBURY WALK LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1844
Mailing Address - Country:US
Mailing Address - Phone:813-943-5716
Mailing Address - Fax:
Practice Address - Street 1:8400 ALBURY WALK LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-1844
Practice Address - Country:US
Practice Address - Phone:813-943-5716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-13
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27489225100000X
SCCP036776T225100000X
NCP15196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PT27489OtherFLORIDA PHYSICAL THERAPY LICENSE
NC15196OtherNC PT LICENSE
SCCP036776TOtherPT COMPACT SC PRIVLEDGE