Timothy Lewis Bourne, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH6268 Issued in AL

Practice address

636 County Road 852
Fort Payne, AL 35967-5739

Phone

(256) 572-2522

NPI assigned

Sep 15, 2011

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab PT FL LLCGroup PAC ID 7416345921, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehab PT FL LLC

  • Physical Therapist
  • Orlando, FL
  • NPI 1336719624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1326320375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 COUNTY ROAD 852",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359675739",
            "telephone_number": "256-572-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 COUNTY ROAD 852",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359675739",
            "telephone_number": "256-572-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "TIMOTHY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl S Blankenship, MD
• Matthew Charles Bohrman, O.D.
• Haley Cheryl Booker, PHARMD
• Haley Victoria Boozer, COTA/L
• Robert Ralph Bouchard Jr., D.C.
• Aletha P Bowen, LPTA
• Brooke Allison Bowen, LPC
• Ronald R Bowen, LCSW
• Mary Brannon, OTR/L
• Brevard Counseling, LLC

• Physical Therapist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.