Individual provider Active NPI

Anne Elizabeth Thumann, PT, DPT

  • Physical Therapist
  • Beach Lake, PA
National Provider Identifier
1972817922
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020064 Issued in PA
Practice address
72 Milanville Rd
Beach Lake, PA 18405-8402
Phone
(570) 470-6662
Fax
(570) 300-2751
NPI assigned
Aug 2, 2010
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.027166 IL
Physical Therapist 225100000X 045745-01 NY
Physical Therapist 225100000X DAPT003381 PA
Physical Therapist 225100000X 11-07199 KS
Physical Therapist 225100000X 11647 SC
Physical Therapist 225100000X 05014922A IN
Physical Therapist 225100000X TPPT262 FL
Physical Therapist 225100000X PT03610 RI
Physical Therapist 225100000X 12965 MN
Physical Therapist 225100000X 40QA02146200 NJ
Physical Therapist 225100000X 303425 CA
Physical Therapist 225100000X 5051 NV
Physical Therapist 225100000X PT210002214 DC
Physical Therapist 225100000X PT020064 PA Primary

Addresses

Primary practice location

72 Milanville Rd
Beach Lake, PA 18405-8402

Mailing address

PO Box 34
Beach Lake, PA 18405-0034
Phone (570) 470-6662

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

State licenses

LicenseStateTypeSpecialty
5051NVMDDentist
303425CAMDPhysical Therapist
PT210002214DCMDPhysical Therapist
TPPT262FLMDPhysical Therapist
070.027166ILMDPhysical Therapist
05014922AINMDPhysical Therapist
11-07199KSMDPhysical Therapist
12965MNMDPhysical Therapist
40QA02146200NJMDPhysical Therapist
045745-01NYMDPhysical Therapist
DAPT003381PAMDPhysical Therapist
PT020064PAMDPhysical Therapist
PT03610RIMDPhysical Therapist
11647SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Organizations & group practices 1

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1972817922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "BEACH LAKE",
            "state": "PA",
            "postal_code": "184050034",
            "telephone_number": "570-470-6662",
            "fax_number": "570-300-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MILANVILLE RD",
            "city": "BEACH LAKE",
            "state": "PA",
            "postal_code": "184058402",
            "telephone_number": "570-470-6662",
            "fax_number": "570-300-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMANN",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027166",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045745-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT003381",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07199",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11647",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014922A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "TPPT262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03610",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12965",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02146200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303425",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002214",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beach Lake, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.