MEDICARE: CRAIG THOMAS TOBEY PT

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	225100000X	Physical Therapist	PT15251	FL

General Provider Information

NPI Number	:	1124703277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG THOMAS TOBEY PT

Provider Business Mailing Address
First Line	:	1053 MAZA PL
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-7243
Country	:	US
Telephone Number	:	727-560-2547
Fax Number	:

Provider Business Practice Location Address
First Line	:	2770 REGENCY OAKS BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-1509
Country	:	US
Telephone Number	:	727-314-7441
Fax Number	:

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

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	06/16/2023

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