Frederick William Tober, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5088 Issued in MD

Practice address

23123 Camden Way
California, MD 20619-2446

Phone

(301) 862-5177

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateau Physical Therapy

  • Physical Therapy Clinic/Center
  • Lusby, MD
  • NPI 1679551568
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1063043495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23123 CAMDEN WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192446",
            "telephone_number": "301-862-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 CAMDEN WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192446",
            "telephone_number": "301-862-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBER",
        "first_name": "FREDERICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Thorpe
• Three Notch Dental
• Thrive Therapy
• John Scott Tidball, M.D.
• Kayce Tinker
• Virginia May Tolbert
• Thamicha Eva Toussaint, LMSW
• Thu T Tran, PHARMD
• Sharini Venugopal, MD
• Annie Verghese, M.D.

• Physical Therapy Assistant in California, MD
• Providers in California, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.