Thomas John Staub, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI001302 Issued in PA

Practice address

800 King Russ Rd
Harrisburg, PA 17109-5101

Phone

(717) 657-1520

NPI assigned

Jul 25, 2023

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

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1124709035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KING RUSS RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095101",
            "telephone_number": "717-657-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KING RUSS RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095101",
            "telephone_number": "717-657-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI001302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory L Stare, B.S.
• Nina Stare, MSW, LSW
• Susan Kepler Stare, P.T.
• Michael Ivan Starling, BS
• Patrick Starsinic, D.O.
• Caitlin Maureen Stauffer, CRNP
• Marissa Anne Steck, CCC-SLP
• Alina A Steele, BS
• Alyssa Steele, BCBA
• Diane L Steenstra, M.S.

• Physical Therapy Assistant in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.