Provider Demographics
NPI:1477882777
Name:TOOKER, JANIS SCHERGER (PT)
Entity type:Individual
Prefix:
First Name:JANIS
Middle Name:SCHERGER
Last Name:TOOKER
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 1:42 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-3210
Mailing Address - Country:US
Mailing Address - Phone:631-567-7953
Mailing Address - Fax:
Practice Address - Street 1:42 RIVER ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-3210
Practice Address - Country:US
Practice Address - Phone:631-567-7953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9062-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist