Timberline Rehabilitation Services, PS

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD00043000 Issued in WA

Legal business name

TIMBERLINE REHABILITATION SERVICES, PS

Practice address

920 NE 112TH Avenue
Suite 103
Vancouver, WA 98684-5104

Phone

(360) 567-2002

Fax

(360) 567-2005

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Zane A. Smith, CEO

Title

M.P.T.

Phone

(360) 567-2002

Specialties & licenses 1

Addresses

Other names 1

• Timberline Physical Therapy, Timberline Neurology Doing business as

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1215218102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 NE 112TH AV",
            "address_2": "SUITE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845104",
            "telephone_number": "360-567-2002",
            "fax_number": "360-567-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NE 112TH AVENUE",
            "address_2": "SUITE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845104",
            "telephone_number": "360-567-2002",
            "fax_number": "360-567-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE REHABILITATION SERVICES, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ZANE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.P.T.",
        "authorized_official_telephone_number": "360-567-2002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00043000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Physical Therapy, Timberline Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Tiffany-Kent
• Bobbi Mae Tilley, RN, BSN
• Lydia Tillmaand
• Tim Obrien LPC LLC
• Timberline Rehabilitation Service, PS
• Joshua Wade Timm
• Jacob Alexander Timmerman, MA
• Tracy Timmons, MD
• Timms Family Chiropractic, PLLC
• Brian R Timms, DC

• Neurology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.