Active NPI
Theresa Thomas, MMS, PA-C
- Physician Assistant
- Levittown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA058136
- 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, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA058136 | PA | MD | Physician 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.
-
- Emergency Medicine Physician
- Douglassville, PA
- NPI 1194293647
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.