MEDICARE: MR. STEPHEN TOBIA PTA

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
1	225200000X	Physical Therapy Assistant	40QB00296700	NJ

General Provider Information

NPI Number	:	1558700252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN TOBIA PTA

Provider Business Mailing Address
First Line	:	32 HOWARD ST
Second Line	:
City	:	LODI
State	:	NJ
Zip	:	07644-1412
Country	:	US
Telephone Number	:	732-991-2562
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 PLYMOUTH RD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4580
Country	:	US
Telephone Number	:	732-991-2562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2013
Last Update Date	:	03/19/2026

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