Timmie A Wilson Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

4 Park Center CT
Owings Mills, MD 21117-5611

Phone

(410) 421-7486

Fax

(410) 377-0576

NPI assigned

Jul 15, 2025

Last updated

Jul 22, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1528959673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SETONHURST RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082031",
            "telephone_number": "410-496-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175611",
            "telephone_number": "410-421-7486",
            "fax_number": "410-377-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Quarry Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093742",
            "country_code": "US",
            "telephone_number": "410-705-7972",
            "fax_number": "410-377-0576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMMIE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raheem Willis
• Lynda Katz Wilner, M.S., CCC-SLP
• Amanda Wilson
• Latonya Wilson
• Lyndsey Wilson, PT,DPT
• David Wilton
• Windsor Woods, Inc.
• Michael Thomas Winebrenner, PT
• Winifred J Booker DDS PA
• Thomas Frederick Withuhn, M.D., M.S.

• Physical Therapy Assistant in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.