Timothy Marvin Witherspoon

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

2931 Redondo Ave
Long Beach, CA 90806-2445

Phone

(562) 490-7600

NPI assigned

Jun 15, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1326369125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SUNBEAM LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062445",
            "telephone_number": "562-490-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "TIMOTHY",
        "middle_name": "MARVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Nell Wise, PH.D.
• Mary Lorraine Wise
• Anyia D Wison
• Wisteria Hospice, Inc.
• Lauren Michelle Witchey, MD
• Nancy Carol Witnauer-Smith, L.C.S.W.
• Sarah Beth Witt, D.C.
• Andrew Wittenberg, MD
• Martha E. Wittenberg, M.D.
• Danica Witter

• Rehabilitation Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.