DR. TIMOTHY STAUDMYER (PT, DPT) – Physical Therapist, NPI 1083440309

DR. TIMOTHY STAUDMYER (PT, DPT) is a healthcare provider. based in Lewes, Delaware. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2305216740 (VA). The NPI Number for DR. TIMOTHY STAUDMYER (PT, DPT) is 1083440309

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY STAUDMYER (PT, DPT)
NPI
1083440309
Phone
(301) 535-2484
Address
33808 DARLINGTON ST
Enumeration Date
12 September 2024
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5714987752
Graduation Year
2024 (2 years ago)
PAC ID
1658804786
Group Practice PAC ID
8426440421
Professional Enrollment ID
I20241202003759
Address ID
VA201477606AS19775PLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for DR. TIMOTHY STAUDMYER (PT, DPT)

  • 33808 DARLINGTON ST

    LEWES, DE 199589447

    Phone: (301) 535-2484

    Type: Mailing

  • 19775 BELMONT EXECUTIVE PLZ STE 125

    ASHBURN, VA 201477606

    Phone: (571) 498-7752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241029001150IPhysical Therapist In Private PracticeDCTBD
I20241202003759IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19958)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426440421View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TIMOTHY STAUDMYER (PT, DPT)?
NPI 1083440309 is assigned to DR. TIMOTHY STAUDMYER (PT, DPT) under the national enumeration system.
Is DR. TIMOTHY STAUDMYER (PT, DPT) currently active in the NPI registry?
CMS-published data lists DR. TIMOTHY STAUDMYER (PT, DPT) as an active registrant.
Does DR. TIMOTHY STAUDMYER (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for DR. TIMOTHY STAUDMYER (PT, DPT). Clinical services aligned with this taxonomy classification.
What location shows for DR. TIMOTHY STAUDMYER (PT, DPT)?
We surface Lewes, Delaware for DR. TIMOTHY STAUDMYER (PT, DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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