Timothy B Duble, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-09661 Issued in OH

Practice address

1230 N Meridian Rd
Suite B
Youngstown, OH 44509-1019

Phone

(330) 793-9500

Fax

(330) 793-9512

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doeberling-Muccio Physical Therapy, Inc.

  dba Center Point Physical Therapy

  • Physical Therapist
  • Canfield, OH
  • NPI 1528060050
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1063401479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811206",
            "telephone_number": "330-399-2221",
            "fax_number": "330-394-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N MERIDIAN RD",
            "address_2": "SUITE B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091019",
            "telephone_number": "330-793-9500",
            "fax_number": "330-793-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBLE",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-09661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda M Drespling, CRNA
• Joshua Ryan Drohn
• Andrew Drummond
• Yi Du, MD
• Tina Marie Duarte
• Ashley Dubois
• Laquisha Dubois
• Samantha Dubos
• Stephen Paul Dubos II, DO
• Marnae Dubose-Clark

• Physical Therapist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.