Timothy James, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3615-24 Issued in WI

Practice address

7517 W. Coldspring Rd.
Greenfield Rehabilitation Agency Inc.
Greenfield, WI 53220

Phone

(920) 559-0765

NPI assigned

May 24, 2007

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

Other identifiers 1

Other names 1

• Mr. Timothy James Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1912118803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LAKESHORE DR APT 6",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542168910",
            "telephone_number": "920-785-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 W. COLDSPRING RD.",
            "address_2": "GREENFIELD REHABILITATION AGENCY INC.",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "920-559-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3615-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40167100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "DAVIDSON",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Imrie
• Independent Lifestyles, LLC
• Integrity Home Care, LLC.
• Cynthia Denise Ireland, PT ASST
• Amy K Israel, NP
• Lien Janick
• Robin Patricia Janiszewski, RN/RCS
• Jovan Jardine
• Pamela Jean Jenks, C.A.D.C.III
• Amy Jensen

• Physical Therapist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.