Active NPI
Maciej E Tomaszewski, PT
- Physical Therapist
- Terre Haute, IN
National Provider Identifier
1992005730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05004468A
- Practice address
- 400 College Ave
Terre Haute, IN 47802-1137 - Phone
- (812) 235-0002
- NPI assigned
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 05004468A | IN | Primary |
Addresses
Primary practice location
400 College Ave
Terre Haute, IN 47802-1137
Mailing address
1857 Birch Run Rd
Terre Haute, IN 47803-3573
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05004468A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1992005730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 BIRCH RUN RD",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478033573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLLEGE AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478021137",
"telephone_number": "812-235-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASZEWSKI",
"first_name": "MACIEJ",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05004468A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.