Individual provider Active NPI

Theresa Thomas, MMS, PA-C

  • Physician Assistant
  • Levittown, PA
National Provider Identifier
1750742342
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058136 Issued in PA
Practice address
8919 New Falls Rd Ste 17
Levittown, PA 19054-1713
Phone
(267) 580-4200
Fax
(267) 580-4201
NPI assigned
Mar 10, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058136 PA Primary

Addresses

Primary practice location

8919 New Falls Rd Ste 17
Levittown, PA 19054-1713

Mailing address

278 Eagleview Blvd
Exton, PA 19341-1157
Phone (610) 561-6400

Other practice location 1

278 Eagleview Blvd
Exton, PA 19341-1157
Phone (610) 561-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171201000166 PA Practitioner - Physician Assistant 7214294115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHP MD PLLCGroup PAC ID 6507258423, 45 clinicians

Practice addresses (Care Compare)

10 E Ridge Pike
Conshohocken, PA 19428-2117

180 W Girard Ave
Suite 108
Philadelphia, PA 19123-1660
Phone (267) 319-8047

2329 Cottman Ave
Philadelphia, PA 19149-1003
Phone (267) 814-2401

48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735

9998 Frankford Ave
Philadelphia, PA 19114-1928
Phone (267) 669-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA058136PAMDPhysician Assistant

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750742342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-561-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 NEW FALLS RD STE 17",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190541713",
            "telephone_number": "267-580-4200",
            "fax_number": "267-580-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "278 Eagleview Blvd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411157",
            "country_code": "US",
            "telephone_number": "610-561-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "THERESA",
        "name_prefix": "Miss",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.