Thomas J Chichak, PTA
Physical Therapy Assistant in Scranton, PA. Individual provider (NPI-1).
NPI number1285218545
StatusActive
Last updated in NPPESMay 11, 2021
Details
- NPI
- 1285218545
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas J Chichak
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2021
- Certification date
- May 11, 2021
- Last updated
- May 11, 2021
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 |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | TEI004867 | PA | Yes |
Practice location
401 Penn AveScranton, PA 18503-1213
Phone 570-961-4300
Mailing address
26 Circle DrEynon, PA 18403-1424
Phone 570-430-7811
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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All 45 Physical Therapy Assistant providers in Scranton · All 3,252 providers in Scranton
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