Timothy D Landon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1054 Issued in AK

Practice address

7335 E Palmer-Wasilla Highway
Suite C
Palmer, AK 99645

Phone

(907) 746-7300

Fax

(907) 746-7302

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Simar Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Palmer, AK
  • NPI 1821254814
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275563371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22621 NORTHWOODS DR",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675459",
            "telephone_number": "907-746-7300",
            "fax_number": "907-746-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 E PALMER-WASILLA HIGHWAY",
            "address_2": "SUITE C",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7300",
            "fax_number": "907-746-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDON",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PT1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT1054",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Kwok, RPH
• Ryan Laine
• Lakeview Family Practice, LLC
• Amy Lalor
• Renee Lamont, LCSW
• Cynthia A. Lang
• Michelle Lapierre
• Jane Margaret Larouche, D.O.
• Devin Larsen
• Knud E Larsen

• Physical Therapist in Palmer, AK
• Providers in Palmer, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.