Individual provider Active NPI

Anna L Timon, DPT

  • Physical Therapist
  • Waterford, PA
National Provider Identifier
1780074773
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209092 Issued in VA
Practice address
202 High St
Waterford, PA 16441-1009
Phone
(814) 900-4742
Fax
(814) 679-4158
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209092 VA Primary

Addresses

Primary practice location

202 High St
Waterford, PA 16441-1009

Mailing address

PO Box 134
Waterford, PA 16441-0134
Phone (814) 900-4742

Other names 1

  • Anna L Daughenbaugh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210211000870 PA Practitioner - Physical Therapist in Private Practice 5890012165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alt Performance Therapy LLCGroup PAC ID 3577937911, 2 clinicians

Practice addresses (Care Compare)

1409 W 38TH St
Erie, PA 16508-2323
Phone (814) 900-4742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209092VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alt Performance Therapy LLC Physical Therapist CurrentSince Dec 24, 2022 Accepting new patients
Rise Up Physical Therapy, LLC Physical Therapist CurrentSince Jan 7, 2021 Accepting new patients

Locations

1409 W 38th St
Erie, PA 16508
Phone (814) 866-9834

2311 W 15th St
Erie, PA 16505
Phone (814) 528-5667

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1780074773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164410134",
            "telephone_number": "814-900-4742",
            "fax_number": "814-679-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164411009",
            "telephone_number": "814-900-4742",
            "fax_number": "814-679-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMON",
        "first_name": "ANNA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "DAUGHENBAUGH",
            "middle_name": "L",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.