Timothy Macon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000159 Issued in DC

Practice address

6200 Oregon Ave NW
Washington, DC 20015-1543

Phone

(202) 541-0150

NPI assigned

May 8, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1184113748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 POTOMAC AVE SE APT 942",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 OREGON AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151543",
            "telephone_number": "202-541-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "TIMOTHY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DC",
            "license": "PTA000159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Mackler, FNP-C
• Ainsley V. Maclean, M.D.
• Katherine Maclean, PSYD
• Aryka Maclin, LGSW
• Tiffani Macon, PHARMD
• Charles John Macri, MD
• Sandra Verane Li-Nyembe Madame Linguen
• Ravi Amrit Madan, M.D.
• Sunil I Madan, MD
• Nima Madanchi, MD

• Physical Therapy Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.