Sheena Mary Thomas

Individual provider Active NPI Physical Therapy Assistant · Wallington, NJ

NPI 1033964663 · NPPES record last updated Apr 18, 2024

Key facts

NPI
1033964663
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
012521 (NY)
Practice address
259 Paterson Ave Apt 113
Wallington, NJ 07057-1932
Phone
(201) 741-7036
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
012521NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 012521 NY Yes

Addresses

Primary practice location

259 Paterson Ave Apt 113
Wallington, NJ 07057-1932

Mailing address

259 Paterson Ave Apt 113
Wallington, NJ 07057-1932
Phone (201) 741-7036

Other providers in Wallington, NJ

All providers in Wallington, NJ · Physical Therapy Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.