National Provider Identifier
Thomas St. John Jr.
Thomas St. John Jr. is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 491-3215.
Profile Overview
- NPI
- 1619543337
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- June 02, 2021
- Last Updated
- November 18, 2022
Practice Location
- 360 East Ave Ste 100
- Rochester, NY 14604-2699
Phone: (585) 491-3215
Specialties
- Peer Specialist (175T00000X)
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1619543337
- Entity Type
- Individual
- Last Name
- St. John
- First Name
- Thomas
- Name Suffix
- Jr.
- Mailing Street Address
- 360 East Ave Ste 100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14604-2699
- Mailing Country
- US
- Mailing Phone
- (585) 491-3215
- Practice Street Address
- 360 East Ave Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14604-2699
- Practice Country
- US
- Practice Phone
- (585) 491-3215
- Enumeration Date
- June 02, 2021
- Last Updated
- November 18, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Occupational Therapist (225X00000X)
- Other Identifiers
- CRPA-P-5164 (NY, Crpa)