Active NPI
Timothy Walsh, P.T., M.A.
- Physical Therapist
- Lima, OH
National Provider Identifier
1104020437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.002445
- Practice address
- 4825 Sugar Creek Rd
Lima, OH 45807-8529 - Phone
- (419) 996-9650
- Fax
- (888) 881-8547
- NPI assigned
- Jun 12, 2007
- 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.002445 | OH | Primary |
Addresses
Primary practice location
4825 Sugar Creek Rd
Lima, OH 45807-8529
Mailing address
4825 Sugar Creek Rd
Lima, OH 45807-8529
Phone (419) 996-9650
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.002445 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1104020437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 SUGAR CREEK RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458078529",
"telephone_number": "419-996-9650",
"fax_number": "888-881-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 SUGAR CREEK RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458078529",
"telephone_number": "419-996-9650",
"fax_number": "888-881-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "TIMOTHY",
"credential": "P.T., M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.002445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.