Timothy Quinlan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14179 Issued in CT

Practice address

1455 E Putnam Ave Ste 2
Old Greenwich, CT 06870-1360

Phone

(860) 430-8383

Fax

(860) 856-6945

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By 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

Enrolled in CT

Enrollment records 1

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

• Ivyrehab Connecticut, Inc.

  • Physical Therapist
  • Old Greenwich, CT
  • NPI 1265799365
  Medicare reassignment NPD
• Edra Stern MD LLC

  • Internal Medicine Physician
  • Old Greenwich, CT
  • NPI 1184124075
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1578340139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "973-584-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E PUTNAM AVE STE 2",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701360",
            "telephone_number": "860-430-8383",
            "fax_number": "860-856-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "TIMOTHY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petersen Seth Pierre
• Jayne F. Pincus, M.D.
• Alexis Pistone, PT, DPT
• Frank Poe, O.D.
• Donald Arthur Pogoda, D.M.D.
• Rebecca Warkol MD LLC
• Donald S Resnick, PH.D.
• Revision Studio LLC Therapy and Counseling Services
• Lauren F Riordan
• Roni Rogers, MS, LPC

• Physical Therapist in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.