Active NPI
Timothy J Dunlop, PT
- Physical Therapist
- Dekalb, IL
National Provider Identifier
1902881998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070001893
- Practice address
- 316 Greenwood Acres Dr
Dekalb, IL 60115-1043 - Phone
- (815) 751-4440
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070001893 | IL | Primary |
Addresses
Primary practice location
316 Greenwood Acres Dr
Dekalb, IL 60115-1043
Mailing address
316 Greenwood Acres Dr
Dekalb, IL 60115-1043
Phone (815) 751-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65003956 | Other | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1902881998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 GREENWOOD ACRES DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601151043",
"telephone_number": "815-751-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 GREENWOOD ACRES DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601151043",
"telephone_number": "815-751-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLOP",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070001893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "65003956",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.