Individual provider Active NPI

Timothy Robert Toward II, MPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1366525933
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19114 Issued in FL
Practice address
6120 Winding Lake Dr
Jupiter, FL 33458-3739
Phone
(561) 202-7047
Fax
(561) 972-7066
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19114 FL Primary

Addresses

Primary practice location

6120 Winding Lake Dr
Jupiter, FL 33458-3739

Mailing address

6120 Winding Lake Dr
Jupiter, FL 33458-3739
Phone (561) 202-7047

Other practice location 1

6120 Winding Lake Dr
Jupiter, FL 33458-3739

Other practice location 2

6120 Winding Lake Drive
Jupiter, FL 33458

Other practice location 3

6120 Winding Lake Dr
Jupiter, FL 33458-3739

Other practice location 4

6120 Winding Lake Dr
Jupiter, FL 33458-3739

Other practice location 5

6120 Winding Lake Drive
Jupiter, FL 33458

Other practice location 6

6120 Winding Lake Dr
Jupiter, FL 33458-3739
Phone (561) 202-7047

Other identifiers 3

IdentifierTypeStateIssuer
Y048POtherFLBCBS INDIVIDUAL #
889096000MedicaidFL
11914OtherFLPT NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000016 FL Practitioner - Physical Therapist in Private Practice 7911956388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19114FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golf Rehab Specialists, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
W. Patrick Magee, PT, DPT CurrentSince Oct 10, 2021 Accepting new patients

Locations

3397 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-6994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1366525933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WINDING LAKE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583739",
            "telephone_number": "561-202-7047",
            "fax_number": "561-972-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINDING LAKE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583739",
            "telephone_number": "561-202-7047",
            "fax_number": "561-972-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120 Winding Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334583739",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winding Lake Drive",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "33458",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winding Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334583739",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winding Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334583739",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winding Lake Drive",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "33458",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winding Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334583739",
            "country_code": "US",
            "telephone_number": "561-202-7047",
            "fax_number": "561-972-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWARD",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "Y048P",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889096000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT NUMBER",
            "identifier": "11914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.