| Thomas J Thoman, DPT | |
|
16 Old Pike Rd, Cornish, ME 04020-3506 | |
| (207) 625-4300 | |
| (207) 625-7300 |
| Full Name | Thomas J Thoman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 16 Old Pike Rd, Cornish, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083642516 | NPI | - | NPPES |
| 047496 | Other | ME | ANTHEM |
| 135630000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2841 (Maine) | Primary |
| Provider Name | Foothills Physical Therapy P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902906399 PECOS PAC ID: 4486686045 Enrollment ID: O20050902000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Thoman, DPT Po Box 48, Cornish, ME 04020-0048 Ph: (207) 625-4300 | Thomas J Thoman, DPT 16 Old Pike Rd, Cornish, ME 04020-3506 Ph: (207) 625-4300 |
Ashten Hackett Cullenberg, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Old Pike Rd, Cornish, ME 04020 Phone: 207-625-4300 | |
Sarah Rogers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 166 Main St, Cornish, ME 04020 Phone: 207-625-4300 Fax: 207-625-7300 | |
Michelle Hubbard, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Old Pike Rd, Cornish, ME 04020 Phone: 207-625-4300 | |
Foothills Physical Therapy, Pa Physical Therapist Medicare: Medicare Enrolled Practice Location: 16 Old Pike Rd, Cornish, ME 04020 Phone: 207-625-4300 Fax: 207-625-7300 | |
Ms. Kristen L Pease, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Old Pike Rd, Cornish, ME 04020 Phone: 207-625-4300 Fax: 207-625-7300 | |
Cory Lynn Marcoux, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Old Pike Rd, Cornish, ME 04020 Phone: 207-625-4300 |