Healthcare Provider Details

I. General information

NPI: 1437113131
Provider Name (Legal Business Name): EILEEN MARIE THOMAS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EILEEN MARIE THOMAS EILEEN MARIE HALLMAN

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MAIN ST # 8
DUNEDIN FL
34698-5848
US

IV. Provider business mailing address

110 KATHLEEN CT
TARPON SPRINGS FL
34689-4607
US

V. Phone/Fax

Practice location:
  • Phone: 727-735-0334
  • Fax:
Mailing address:
  • Phone: 609-457-5182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT38158
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: