Provider Demographics
NPI:1427484344
Name:MCCARTHY, THOMAS PATRICK (DPT)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:PATRICK
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 INDEPENDENCE PLACE DR
Mailing Address - Street 2:APT. 617-A
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-9594
Mailing Address - Country:US
Mailing Address - Phone:770-359-9353
Mailing Address - Fax:
Practice Address - Street 1:514 S MAIN ST
Practice Address - Street 2:SUTIE A
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4356
Practice Address - Country:US
Practice Address - Phone:912-369-9408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist