Deanna Tomasso, PTA, MT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00186600 Issued in NJ

Practice address

137 Main Rd
Montville, NJ 07045-9231

Phone

(973) 917-3682

NPI assigned

Mar 22, 2019

Reactivated

Dec 9, 2022

Sex

Female

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

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1639639958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TYSLEY ST",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242516",
            "telephone_number": "201-914-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459231",
            "telephone_number": "973-917-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASSO",
        "first_name": "DEANNA",
        "credential": "PTA, MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "deactivation_date": "2019-06-07",
        "reactivation_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00186600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Teluk
• Glenn Terry
• The Future Years, Inc (Accessible Life)
• Michelle Lynn Thorpe, MD
• Thrive Physical Therapy LLC
• Total Health Physical Medicine and Rehab Center (Premier Sculpting Center of NJ)
• Township of Montville
• Truroots Nutrition LLC
• Heather Uccello, RN, IBCLC
• Sudarsana Varma Uddaraju, PHARMACIST

• Physical Therapy Assistant in Montville, NJ
• Providers in Montville, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.