Provider Demographics
NPI:1811541725
Name:THOMAS JOSEPH, JOEANNE M (SP/C)
Entity Type:Individual
Prefix:MRS
First Name:JOEANNE
Middle Name:M
Last Name:THOMAS JOSEPH
Suffix:
Gender:F
Credentials:SP/C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 6TH ST W
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-1460
Mailing Address - Country:US
Mailing Address - Phone:239-491-4700
Mailing Address - Fax:877-836-4662
Practice Address - Street 1:3108 6TH ST W
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-1460
Practice Address - Country:US
Practice Address - Phone:239-491-4700
Practice Address - Fax:877-836-4662
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 171W00000X, 332B00000X
FL246YC3302X, 2251S0007X, 246YC3302X, 172A00000X, 171W00000X, 171M00000X, 172A00000X, 174400000X, 171M00000X, 251X00000X, 374K00000X
FLMA78028225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLX122183XOtherFINANCIAL SERVICES CONSULTANT
FL0025944968XXOtherFTC/FCC FRN
FL1009572XXOtherFL NOTARY
FL204907208XXOtherDBE/ACDBE
FL16839190XXOtherNPN PRODUCER
FL17900657XXOtherAGENT BROKER TRAINING
FL204907208XXOtherMBE/WBE/CBE CERTIFIED
FL143049545XXOtherSERVICE PROVIDER
FL468015203795XXOtherFLDOR CERTIFICATE
FL517919OtherSTATE OF FLORIDA
FLDOD357SXXOtherDOD CAGE
FL170127XXOtherFTC/FCC USAC
FL204907208XXOtherSAM REGISTRATION
FL517611OtherSAM REGISTRATION