Individual provider Active NPI

Thomas Benton Herring II, PT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1952587818
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2190 Issued in AZ
Practice address
1955 W Baseline Rd
Suite 113-613
Mesa, AZ 85202-9003
Phone
(480) 236-1138
Fax
(602) 235-0937
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2190 AZ Primary

Addresses

Primary practice location

1955 W Baseline Rd
Suite 113-613
Mesa, AZ 85202-9003

Mailing address

1955 W Baseline Rd
Suite 113-613
Mesa, AZ 85202-9003
Phone (480) 236-1138

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Physical Therapy Aquatics and Rehab Specialists Physical Therapist Past Accepting new patients
Herring Physical Therapy, LLC Physical Therapist PastSince Jun 22, 2005 Accepting new patients

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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1952587818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W BASELINE RD",
            "address_2": "SUITE 113-613",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029003",
            "telephone_number": "480-236-1138",
            "fax_number": "602-235-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W BASELINE RD",
            "address_2": "SUITE 113-613",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029003",
            "telephone_number": "480-236-1138",
            "fax_number": "602-235-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "THOMAS",
        "middle_name": "BENTON",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.