Active NPI
Timothy Lawrence Speciale, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Williamsville, NY
National Provider Identifier
1720044837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 158951
- Practice address
- 8612 Main St
Suite 1
Williamsville, NY 14221-7462 - Phone
- (716) 626-6301
- Fax
- (716) 626-6337
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 158951 | NY | Primary |
Addresses
Primary practice location
8612 Main St
Suite 1
Williamsville, NY 14221-7462
Mailing address
8612 Main St
Suite 1
Williamsville, NY 14221-7462
Phone (716) 626-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720044837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8612 MAIN ST",
"address_2": "SUITE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217462",
"telephone_number": "716-626-6301",
"fax_number": "716-626-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8612 MAIN ST",
"address_2": "SUITE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217462",
"telephone_number": "716-626-6301",
"fax_number": "716-626-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECIALE",
"first_name": "TIMOTHY",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "158951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
- Southwestern Testing Service, Inc.
- Southwestern Testing Services, Inc.
- Joseph Anthony Sowinski, D.D.S.
- Eileen Spagna, LMT
- Edward John Spangenthal, MD
- Spectrum Radiology Associates PLLC
- Speech Language & Communication Associates SLP, OT, PT, PLLC
- Speech, Language, and Communication Associates
- Lynette A Spencer, RN
- Caterina Mimi Sperrazza, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.