Provider Demographics
NPI:1609912856
Name:TOMASETTI, JOSEPH C (MPT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:TOMASETTI
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 POTTER DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-2978
Mailing Address - Country:US
Mailing Address - Phone:484-941-3450
Mailing Address - Fax:610-326-7931
Practice Address - Street 1:231 MILL ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-4808
Practice Address - Country:US
Practice Address - Phone:215-781-6973
Practice Address - Fax:215-781-6974
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007200L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS72335Medicare UPIN
PA023034RXTMedicare PIN