DR. TIMOTHY VIDALE


Address: 1712 I St Nw, Suite 410, Washington, DC 20006-3702
Phone: 2022571363

DR. TIMOTHY VIDALE (NPI# 1962772244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962772244
Entity Type Individual
Full Name DR. TIMOTHY VIDALE
Credential D.P.T.
Practice Address 1712 I St Nw
Suite 410
Washington
DC 20006-3702
Mailing Address 103 Webster St Ne
Washington
DC 20011-5067
Practice Telephone 2022571363
Mailing Telephone 2026790985
Enumeration Date 2012-01-04
Last Update Date 2012-01-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
871303 DC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1712 I ST NW
SUITE 410
City WASHINGTON
State DC
Zip Code 20006-3702

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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

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1366777823 Michael James Calhoun Physical Therapist 3301 New Mexico Ave Nw Ste 318, Washington, DC 20016-3624 2009-10-16
1922131044 Paulina Alejandra Ochoa Physical Therapist 1712 I St Nw Ste 305, Washington, DC 20006-3766 2007-03-14
1043230147 Ira N Silverstein Physical Therapist 2401 Pennsylvania Ave Nw, Suite Ll-100, Washington, DC 20037-1730 2006-07-20
1588297790 Sara Lynn Lowry Physical Therapist 1015 Half St Se, Washington, DC 20003-3654 2020-02-16
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Competitor

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City WASHINGTON
Zip Code 20006

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Dataset Information

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.

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