Timm K Dumoulin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0328 Issued in NH

Practice address

103 S Main St
West Lebanon, NH 03784-1618

Phone

(603) 298-5595

Fax

(603) 298-5205

NPI assigned

Jul 1, 2006

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1174552285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 JERICHO ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019324",
            "telephone_number": "802-295-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841618",
            "telephone_number": "603-298-5595",
            "fax_number": "603-298-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMOULIN",
        "first_name": "TIMM",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0806546Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9150551",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS VERMONT",
            "identifier": "DUMO6371",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40652187",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Christopher D'Orazio, RPH
• Brooke Dahoney
• DCJ Company
• Jolee Delgado
• Faith Dubois
• Lindsey Dutton
• Cynthia Elain Edmondson, HIS
• Jessica Michelle Eid, O.D.
• Family Health Center, P.a.
• Bruce M Feldstein, D.D.S.

• Physical Therapist in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.