Healthcare Provider Details

I. General information

NPI: 1508065376
Provider Name (Legal Business Name): TOBI HIMMELHEBER MS, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TOBI MASUCCI

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W 27TH ST
HAZLETON PA
18202-9604
US

IV. Provider business mailing address

1000 W 27TH ST
HAZLETON PA
18202-9604
US

V. Phone/Fax

Practice location:
  • Phone: 570-545-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT39997
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018057
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: