Active NPI
Timothy Franklin Eckard, MSPT, CERT. MDT
- Physical Therapist
- Valencia, CA
National Provider Identifier
1093762403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30318
- Practice address
- 25176 Rye Canyon Rd
Valencia, CA 91355 - Phone
- (661) 288-0300
- Fax
- (661) 288-0388
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 30318 | CA | Primary |
Addresses
Primary practice location
25176 Rye Canyon Rd
Valencia, CA 91355
Mailing address
19627 Sidani LN
Santa Clarita, CA 91350-1997
Phone (661) 513-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30318 | CA | MD | Dental Hygienist |
| PT 30318 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1093762403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19627 SIDANI LN",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913501997",
"telephone_number": "661-513-0023",
"fax_number": "661-513-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25176 RYE CANYON RD",
"city": "VALENCIA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "661-288-0300",
"fax_number": "661-288-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKARD",
"first_name": "TIMOTHY",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"credential": "MSPT, CERT. MDT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 30318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.