Timothy James Wittenauer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305004636 Issued in VA

Practice address

108 Walton Park LN
Midlothian, VA 23114-3028

Phone

(804) 560-9575

Fax

(804) 560-9557

NPI assigned

Dec 16, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Physical Therapy, Inc.

  • Physical Therapist
  • Midlothian, VA
  • NPI 1952386203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417933953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WALTON PARK LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143028",
            "telephone_number": "804-560-9575",
            "fax_number": "804-560-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WALTON PARK LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143028",
            "telephone_number": "804-560-9575",
            "fax_number": "804-560-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENAUER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4454125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "114481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1985263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Wirthman, PA-C
• Aukse Wirz, O.D.
• Wisdom Care
• Douglas William Wisor, MD
• Victoria E Witt, DO
• Megan Leigh Wittenberg, OT/L
• Rossano N Wlodawsky, DDS
• Laura Wojdyla
• Lynne McElroy Wold, CFNP
• Markita Wolf, PSY.D.

• Physical Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.