Provider Demographics
NPI:1518411198
Name:THOMAS, FELIX (DPT, PT)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 ORIENT WAY
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2052
Mailing Address - Country:US
Mailing Address - Phone:201-514-4900
Mailing Address - Fax:201-340-4141
Practice Address - Street 1:84 ORIENT WAY
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2052
Practice Address - Country:US
Practice Address - Phone:201-514-4900
Practice Address - Fax:201-340-4141
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01669500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist