Healthcare Provider Details

I. General information

NPI: 1306759329
Provider Name (Legal Business Name): ISABEL PAIGE TOMSICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5737
US

IV. Provider business mailing address

15811 DAWSON RIDGE DR
TAMPA FL
33647-1322
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6611
  • Fax:
Mailing address:
  • Phone: 813-480-8345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89878
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT42188
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: