Provider Demographics
NPI:1629266481
Name:TOOMBS, ELLIZABETH A (PT)
Entity Type:Individual
Prefix:
First Name:ELLIZABETH
Middle Name:A
Last Name:TOOMBS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 HOPEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1335
Mailing Address - Country:US
Mailing Address - Phone:845-896-5380
Mailing Address - Fax:845-896-5161
Practice Address - Street 1:1222 HOPEWELL AVE
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1335
Practice Address - Country:US
Practice Address - Phone:845-896-5380
Practice Address - Fax:845-896-5161
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0126401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY820807OtherACN / MPN EMPIRE PLAN
NYQ7302QBII1OtherMEDICARE UNSPECIFIED
NYQ7302QBII1OtherMEDICARE UNSPECIFIED