John P Tooher, P.T., A.T., C.
Physical Therapist in Bala Cynwyd, PA. Individual provider (NPI-1).
NPI number1104874544
StatusActive
Last updated in NPPESNov 2, 2016
Details
- NPI
- 1104874544
- Entity type
- Individual (NPI-1)
- Name
- John P Tooher
- Credential
- P.T., A.T., C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Nov 2, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT008548L | PA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT002030A | PA |
Practice location
100 Presidential BlvdBala Cynwyd, PA 19004-1108
Phone 610-668-0904 · Fax 610-668-0668
Mailing address
42 Conshohocken State Rd1b
Bala Cynwyd, PA 19004-3327
Phone 215-913-0484 · Fax 610-668-0668
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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