Active NPI
Thomas Michael Marchese, PT ASSISTANT
- Physical Therapy Assistant
- Broomall, PA
National Provider Identifier
1659514206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI002213
- Practice address
- 1999 Sproul Rd
Suite 10
Broomall, PA 19008-3508 - Phone
- (610) 359-1134
- Fax
- (610) 353-2109
- NPI assigned
- Apr 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI002213 | PA | Primary |
Addresses
Primary practice location
1999 Sproul Rd
Suite 10
Broomall, PA 19008-3508
Mailing address
PO Box 86
Minneapolis, MN 55486-0086
Phone (610) 859-9110
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEI002213 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1659514206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860086",
"telephone_number": "610-859-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 SPROUL RD",
"address_2": "SUITE 10",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083508",
"telephone_number": "610-359-1134",
"fax_number": "610-353-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESE",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"credential": "PT ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI002213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.