Active NPI
Timothy Golder
- Physical Therapist
- Glen Mills, PA
National Provider Identifier
1780162628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11226386-2401
- Practice address
- 331 Wilmington Pike
Glen Mills, PA 19342-2277 - Phone
- (610) 558-5866
- Fax
- (610) 558-6103
- NPI assigned
- Aug 2, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 11226386-2401 | UT | Primary |
Addresses
Primary practice location
331 Wilmington Pike
Glen Mills, PA 19342-2277
Mailing address
120 W Germantown Pike Ste 100
Plymouth Meeting, PA 19462-1420
Phone (610) 270-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11226386-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1780162628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W GERMANTOWN PIKE STE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621420",
"telephone_number": "610-270-0370",
"fax_number": "610-270-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 WILMINGTON PIKE",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193422277",
"telephone_number": "610-558-5866",
"fax_number": "610-558-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDER",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11226386-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.