DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIMOTHY MACON PTA

MEDICARE: TIMOTHY MACON PTA
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
1225200000XPhysical Therapy AssistantPTA000159DC

General Provider Information

NPI Number : 1184113748
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY MACON PTA
Provider Business Mailing Address
First Line : 79 POTOMAC AVE SE APT 942
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-3749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6200 OREGON AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20015-1543
Country : US
Telephone Number : 202-541-0150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2018
Last Update Date : 05/08/2018

Similar Medicare Providers

1316946668 — THE ARMY DISTAFF FOUNDATION INC
Practice Location Address:
6200 OREGON AVE NW
WASHINGTON, DC
20015-1543
Practice Phone: 202-541-0307
Practice Fax: 202-364-2856
1447380779 — DR. NICHOLAS GEORGE POLIS MD
Practice Location Address:
6200 OREGON AVE NW
WASHINGTON, DC
20015-1543
Practice Phone: 202-541-0400
Practice Fax: 703-348-4127
1649394099 — MR. ALEJANDRO DOMINGO SMALL OTRL
Practice Location Address:
6200 OREGON AVE NW
WASHINGTON, DC
20015-1543
Practice Phone: 202-541-0403
Practice Fax:
1861697849 — MRS. DEVI MEENA SUBRAMANIAN PT
Practice Location Address:
6200 OREGON AVE NW
WASHINGTON, DC
20015-1543
Practice Phone: 202-541-0403
Practice Fax:
1235441155 — KRISTIN NATALE
Practice Location Address:
6200 OREGON AVE NW
WASHINGTON, DC
20015-1543
Practice Phone: 202-541-0400
Practice Fax:
1275831042 — MRS. JAMIE COOK MPT
Practice Location Address:
6200 OREGON AVE NW
WASHINGTON, DC
20015-1543
Practice Phone: 202-541-0150
Practice Fax:

Directions to “ TIMOTHY MACON PTA” 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 © 2007-2026 (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.