Timothy John Dwyer Jr., OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC010334 Issued in PA

Practice address

1435 Penn Ave
Wyomissing, PA 19610-2133

Phone

(610) 376-1902

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Berks Hand Therapy Center

  • Occupational Therapist
  • Wyomissing, PA
  • NPI 1124057310
  NPD (past)
• Philo Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Morgantown, PA
  • NPI 1053981753
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1891829065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SAINT NICHOLAS STREET",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102133",
            "telephone_number": "610-376-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa L Dubois, M.D.
• Dakota A Dugan
• John Michael Duggan, M.A.
• Carressa K Dunn
• Susan M Durkin, MS MSN CRNP
• Elizabeth Ann Dymond, DMD
• J Michael Eager, MD
• Eagles Oral Surgery
• Eagles Oral Surgery
• Eastern PA Comprehensive Sleep Disorder Cent

• All providers in Wyomissing, PA
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.