Timothy Jon O'Rourke, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60041032 Issued in WA

Practice address

1300 S 320TH St
Federal Way, WA 98003-5359

Phone

(253) 946-2960

NPI assigned

Nov 25, 2009

Last updated

Dec 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1205164480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32522 1ST PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035711",
            "telephone_number": "253-517-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035359",
            "telephone_number": "253-946-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60041032",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "0738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamima Ngina Nyoike
• Mark Roland Nyreen, M.D.
• Marykate Emeline O'Connell, ARNP
• Susan Annette O'Dell, LMP
• Rosie O'Neil
• Soren Elliott Oakley, BSN, RN
• Suellen Obrien, PT
• Occupational Health Centers of Washington, P.S. (Concentra Medical Centers)
• Occupational Health Centers of Washington, P.S. (Concentra Medical Centers)
• Ocd Anxiety Centers Washington LLC (OCD Anxiety Centers Washington)

• Physical Therapy Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.