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NPI Code Detail

MEDICARE: THOMAS J THOMAN DPT

MEDICARE: THOMAS J THOMAN DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT2841ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1047496OTHERMEANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083642516
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS J THOMAN DPT
Provider Business Mailing Address
First Line : PO BOX 48
Second Line :
City : CORNISH
State : ME
Zip : 04020-0048
Country : US
Telephone Number : 207-625-4300
Fax Number : 207-625-7300
Provider Business Practice Location Address
First Line : 16 OLD PIKE RD
Second Line :
City : CORNISH
State : ME
Zip : 04020-3506
Country : US
Telephone Number : 207-625-4300
Fax Number : 207-625-7300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 06/04/2008

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