Morgan Andrea Timon, PTA, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15313-146 Issued in WI

Practice address

1777 W Main St Ste 106
Sun Prairie, WI 53590-3100

Phone

(608) 478-5762

NPI assigned

Oct 21, 2020

Sex

Female

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

Credentials

Medical Technician

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evolve Massage LLC

  • Massage Therapist
  • Sun Prairie, WI
  • NPI 1447867346
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1235738162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 106",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-478-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 106",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-478-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMON",
        "first_name": "MORGAN",
        "middle_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "PTA, MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "15313-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory G Thiry, DC
• Stephen C Thomas, MD
• Ranee A Thompson, RN
• Zabrina Thompson, LPN
• Alex Ma Thor, DDS
• Theresa M Tomsyck, PC-T
• Amy Trampe
• Andrew William Trampf
• Michael Francis Trentz, D.C.
• Jonathan Triggs, LPC

• Massage Therapist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.