Erik Timby, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013450 Issued in PA

Practice address

8601 Stenton Ave
Wyndmoor, PA 19038-8312

Phone

(215) 233-5200

NPI assigned

Jun 13, 2016

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508216391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388312",
            "telephone_number": "610-348-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388312",
            "telephone_number": "215-233-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Evesham Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439509",
            "country_code": "US",
            "telephone_number": "856-596-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMBY",
        "first_name": "ERIK",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://wyndmoorhills.com/",
            "affiliation": "Y",
            "affiliationName": "Wyndmoor SNF Operating Company LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Wyndmoor",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8601 Stenton Ave",
            "city": "Wyndmoor",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190388312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.