Nomer Sibug Timbang

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040113-1 Issued in NY

Practice address

2895 Roosevelt Avenue
Bronx, NY 10465

Phone

(718) 233-8293

Fax

(718) 701-3133

NPI assigned

Nov 10, 2017

Last updated

Feb 23, 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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower Rehab Occupational and Physical TherapyGroup PAC ID 4082098785, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Empower Rehab Occupational & Physical Therapy

  dba Empower Rehab Occupational & Physical Therapy PLLC

  • Occupational Therapist
  • Bronx, NY
  • NPI 1851024491

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kinetic Rehabilitation Inc

  • Physical Therapist
  • New York, NY
  • NPI 1285216911
  NPD Authorized official

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1861905978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 ROOSEVELT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-233-8293",
            "fax_number": "718-701-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 ROOSEVELT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-233-8293",
            "fax_number": "718-701-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 W 177th St Ste 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100336929",
            "country_code": "US",
            "telephone_number": "646-360-3879",
            "fax_number": "646-360-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMBANG",
        "first_name": "NOMER",
        "middle_name": "SIBUG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040113-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tillmon Behavioral Health Services LLC
• Linda C. Tillmon, MSW
• Rajiev Timal, RPA-C
• Yulya Timashpolsky, M.D.
• Neilawattie Merna Timaul
• Lou N Timbol, OT
• Time to Shine Licensed Behavior Analysis PLLC
• Christian Timm, DO
• Halle L Timm
• Theresa Timmons, LCSW

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.