MEDICARE: TIMOTHY E MCINTIRE 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	PT14036	OH

General Provider Information

NPI Number	:	1932440526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY E MCINTIRE PT

Provider Business Mailing Address
First Line	:	810 FALLS CREEK DR STE B
Second Line	:
City	:	VANDALIA
State	:	OH
Zip	:	45377-8600
Country	:	US
Telephone Number	:	937-298-2584
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 FALLS CREEK DR STE B
Second Line	:
City	:	VANDALIA
State	:	OH
Zip	:	45377-8600
Country	:	US
Telephone Number	:	937-298-2584
Fax Number	:

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	02/03/2026

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Directions to “ TIMOTHY E MCINTIRE PT” Practice Location

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