Kyle G Timm, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1176660 Issued in TX

Practice address

1216 Hillcrest Dr
Sherman, TX 75092-5507

Phone

(903) 893-7457

Fax

(903) 893-6671

NPI assigned

Apr 20, 2011

Last updated

Apr 27, 2011By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Sherman, TX
  • NPI 1851781421
  NPD (past)
• The Rehabilitation Center: Therapeutic Solutions for Children and Adul

  • Voluntary or Charitable Agency
  • Sherman, TX
  • NPI 1356331896

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1417248741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 HILLCREST DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925507",
            "telephone_number": "903-893-7457",
            "fax_number": "903-893-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 HILLCREST DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925507",
            "telephone_number": "903-893-7457",
            "fax_number": "903-893-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "KYLE",
        "middle_name": "G",
        "credential": "PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1176660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021660801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James G Thompson, LO, LPA
• Nancy Jo Thompson, PMHNP
• Kelsey Rene Ticer
• Dalton Tidwell, MD
• Brinda Robbins Tillery, LCSW
• Timothy J. Ruddell, M.D., PLLC
• Tioga Isd
• Michael Tobin
• Alain Zareh Tocatjian, M.D.
• Chloe Aspire Todd

• Physical Therapist in Sherman, TX
• Providers in Sherman, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.