Healthcare Provider Details

I. General information

NPI: 1407773658
Provider Name (Legal Business Name): THOMAS HOLCOMB PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 MOSSIDE BLVD STE 415
MONROEVILLE PA
15146-3533
US

IV. Provider business mailing address

12311 PERRY HWY
WEXFORD PA
15090-8344
US

V. Phone/Fax

Practice location:
  • Phone: 412-457-1109
  • Fax:
Mailing address:
  • Phone: 878-332-4143
  • Fax: 878-332-4467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034249
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: