Individual provider Active NPI

John P Tooher, P.T., A.T., C.

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1104874544
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008548L Issued in PA
Practice address
100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Phone
(610) 668-0904
Fax
(610) 668-0668
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008548L PA Primary
Athletic Trainer 2255A2300X RT002030A PA

Addresses

Primary practice location

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108

Mailing address

42 Conshohocken State Rd
1B
Bala Cynwyd, PA 19004-3327
Phone (215) 913-0484

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008548LPAMDPhysical Therapist
RT002030APAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1104874544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CONSHOHOCKEN STATE RD",
            "address_2": "1B",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043327",
            "telephone_number": "215-913-0484",
            "fax_number": "610-668-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "610-668-0904",
            "fax_number": "610-668-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOHER",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "P.T., A.T., C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008548L",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT002030A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.