DR. TIMOTHY LAWRENCE BASOM (NPI# 1548503600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548503600 |
Entity Type | Individual |
Full Name | DR. TIMOTHY LAWRENCE BASOM |
Credential | D.P.T. |
Practice Address |
136 E Lake St Ephrata PA 17522 |
Practice Telephone | 7177387979 |
Enumeration Date | 2013-03-27 |
Last Update Date | 2013-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT022566 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
136 E LAKE ST |
City | EPHRATA |
State | PA |
Zip Code | 17522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124659552 | Pamela Vettleson | Occupational Therapist | 136 E Lake St, Ephrata, PA 17522 | 2020-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
1164589586 | Albright Opticians, Inc | Durable Medical Equipment & Medical Supplies | 4229 Oregon Pike, Ephrata, PA 17522 | 2007-01-03 |
Find all providers in zip 17522 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
1700483385 | Freedom Physical Therapy & Performance | Physical Therapist | 868 N U.S. 15, Dillsburg, PA 17019 | 2020-10-06 |
1336755388 | Katherine Mccurdy | Physical Therapist | 475 Allendale Rd Ste 205, King of Prussia, PA 19406-1495 | 2020-09-16 |
1902419906 | Melinda Steimling | Physical Therapist | 306 S New St Ste 202, Bethlehem, PA 18015-1652 | 2020-08-28 |
1043828502 | Diane Marilyn Zimardo | Physical Therapist | 1575 Bannister St Ste 4, York, PA 17404-4946 | 2020-07-21 |
1942821913 | Nolan Weaver | Physical Therapist | 1426 Frankford Ave, Philadelphia, PA 19125-4410 | 2020-05-01 |
1265052815 | Kristen M Markle | Physical Therapist | 796 Mill Rd, Spring Grove, PA 17362-9183 | 2020-04-23 |
1710510383 | Megan Gerhart | Physical Therapist | 1179 Welsh Rd, Lansdale, PA 19446-1358 | 2020-02-21 |
1841820214 | Maria Schweizerhof | Physical Therapist | 1438 Chestnut St Unit 3, Emmaus, PA 18049-1913 | 2020-01-24 |
1497391114 | Samantha Rosser | Physical Therapist | 261 Second Street Pike, Southampton, PA 18966-3833 | 2019-11-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.