MEDICARE: MR. TIMOTHY B DUBLE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT-09661	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063401479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY B DUBLE PT

Provider Business Mailing Address
First Line	:	320 E MARKET ST
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44481-1206
Country	:	US
Telephone Number	:	330-399-2221
Fax Number	:	330-394-0122

Provider Business Practice Location Address
First Line	:	1230 N MERIDIAN RD
Second Line	:	SUITE B
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-1019
Country	:	US
Telephone Number	:	330-793-9500
Fax Number	:	330-793-9512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/17/2007

Similar Medicare Providers

1417789884 — MRS. PATRICIA WOODWARD
Practice Location Address:

1019 CHEROKEE DR
YOUNGSTOWN, OH
44511-1324

Practice Phone: 234-241-7974
Practice Fax:

1144018573 — PAMELA LYNN RENDA CAREGIVER
Practice Location Address:

1629 EVERETT AVE
YOUNGSTOWN, OH
44514-1019

Practice Phone: 330-509-3494
Practice Fax: 330-788-6413

1417811324 — RICHARD ALLAN MCBRIDE I
Practice Location Address:

3112 BURBANK AVE
YOUNGSTOWN, OH
44509-1819

Practice Phone: 234-367-8258
Practice Fax:

1336003417 — ADRIENNE M WHITT CNP, RN
Practice Location Address:

527 N MERIDIAN RD
YOUNGSTOWN, OH
44509-1227

Practice Phone: 330-797-0070
Practice Fax: 330-797-9146

1952266611 — CARTER'S EMPLOYMENT SERVICES
Practice Location Address:

2927 MAHONING AVE
YOUNGSTOWN, OH
44509-2633

Practice Phone: 330-610-5343
Practice Fax:

1114882792 — DAVID BRIDGEFORTH
Practice Location Address:

3112 BURBANK AVE
YOUNGSTOWN, OH
44509-1819

Practice Phone: 330-398-5670
Practice Fax:

Directions to “ MR. TIMOTHY B DUBLE PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.