Timothy W Dey, PT, DPT, SCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202720 Issued in VA

Practice address

2000 Trident Way
BLDG #636
San Diego, CA 92155-5599

Phone

(619) 537-3816

NPI assigned

Jul 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1609284371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "address_2": "BLDG #636",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599",
            "telephone_number": "619-537-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "address_2": "BLDG #636",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599",
            "telephone_number": "619-537-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, SCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202720",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305202720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Dewoody
• Sarah Dewyse, LCSW
• Dexcom, Inc.
• Amanda Kay Dexter, O.D.
• Lindsey Dexter, RBT
• Henry Richard Deyoung, MD
• Jessica Louise Deyoung
• Tracey Honohan Deyoung, MD
• Juan Deza, M.D.
• Martin J Deza, LMFT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.