NPI 1184113748

Timothy Macon, PTA

Practitioner Physical Therapy Assistant Washington, DC

Practice location

Address: 6200 Oregon Ave NW, Washington, DC 20015-1543
Phone: (202) 541-0150
Mailing address: 79 Potomac Ave SE APT 942, Washington, DC 20003-3749

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA000159 (DC)

Other Physical Therapy Assistant providers in District of Columbia →

Registry record

NPI: 1184113748
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2018
Record last updated: 8 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.