Provider Demographics
NPI:1699748152
Name:TOMPKINS, DANIEL L (PT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:TOMPKINS
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 1:925 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1117
Mailing Address - Country:US
Mailing Address - Phone:716-282-0772
Mailing Address - Fax:
Practice Address - Street 1:3571 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-1200
Practice Address - Country:US
Practice Address - Phone:716-695-7848
Practice Address - Fax:716-695-0312
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015041225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA2037Medicare ID - Type Unspecified