Emily Nicole Timm, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT872099 Issued in DC

Practice address

102 Irving St NW
Washington, DC 20010-2921

Phone

(202) 877-1760

Fax

(202) 829-2789

NPI assigned

Sep 6, 2016

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

• National Rehabiliation Hospital, Inc

  dba MedStar Health Physical Therapy at White Plains

  • Rehabilitation Clinic/Center
  • White Plains, MD
  • NPI 1912503202

  Physical Therapist

  NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  NPD (past)
• National Rehabilitation Hospital, Inc.

  dba MedStar Health Physical Therapy at Waldorf Marketplace

  • Rehabilitation Clinic/Center
  • Waldorf, MD
  • NPI 1912724246

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1437606621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "202-997-1760",
            "fax_number": "202-877-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "202-877-1760",
            "fax_number": "202-829-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18109 Prince Philip Dr",
            "address_2": "B-200",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321519",
            "country_code": "US",
            "telephone_number": "301-570-3138",
            "fax_number": "301-260-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Post Office Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022756",
            "country_code": "US",
            "telephone_number": "855-546-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Altamont Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953052",
            "country_code": "US",
            "telephone_number": "301-893-2345",
            "fax_number": "855-546-0793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMM",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26830",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abu Bakarr Timbo
• Maynard Allee Bachard Timbo
• Joy Nayah Timbong
• Timely Performance Care Inc
• Ibrahim Timite
• Derrick Anthony Timmons
• Tonise Timmons
• Emily Jennifer Timmreck, RN, ACNP-BC
• Essick Ronald Timms IV, HS
• Ernest Gwain Timnge

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.