Provider Demographics
NPI:1467493148
Name:NAMEY, THOMAS R (PT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:NAMEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 FREEDOM RD
Mailing Address - Street 2:STE C101
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066
Mailing Address - Country:US
Mailing Address - Phone:724-590-0494
Mailing Address - Fax:724-590-0553
Practice Address - Street 1:1187 FREEDOM RD
Practice Address - Street 2:STE C101
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066
Practice Address - Country:US
Practice Address - Phone:724-590-0494
Practice Address - Fax:724-590-0553
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1599NAOtherREGENCE BLUE SHIELD
WA7818544OtherAETNA
WAP00398751OtherRAILROAD MEDICARE
WA1177NAOtherREGENCE BLUE SHIELD
WA8455339Medicaid
WA0210179OtherDEPT. OF LABOR & INDUSTRY
WA8941712OtherL&I CRIME VICTIMS
WA1022NAOtherREGENCE BLUE SHIELD
WA1022NAOtherREGENCE BLUE SHIELD