TIMOTHY DYMOND – Physical Therapist, NPI 1194274571

TIMOTHY DYMOND is a healthcare provider. based in Wyoming, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT023396 (PA). The NPI Number for TIMOTHY DYMOND is 1194274571

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY DYMOND
NPI
1194274571
Phone
(570) 762-8900
Address
79 9TH ST
Enumeration Date
27 September 2016
Last Update Date
27 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702082787
Graduation Year
2014 (12 years ago)
PAC ID
3779934740
Group Practice PAC ID
8426960386
Professional Enrollment ID
I20240104001145
Address ID
PA186401949PI33XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for TIMOTHY DYMOND

  • 79, 9th Street, Wyoming, Luzerne County, Pennsylvania, 18644, United States

    WYOMING, PA 186441935

    Phone: (570) 762-8900

    Fax: (570) 208-2788

    Type: Mailing

  • 33, North Main Street, Pittston, Luzerne County, Pennsylvania, 18640, United States

    PITTSTON, PA 186401949

    Phone: (570) 208-2787

    Fax: (570) 208-2788

    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: 2024-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240104001145IPhysical Therapist In Private PracticePATBD

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 18644)

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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: 8426960386View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the standard ID for TIMOTHY DYMOND in the U.S.?
In the U.S., TIMOTHY DYMOND is identified by NPI 1194274571.
Does the public listing show TIMOTHY DYMOND as active?
TIMOTHY DYMOND's NPI record reflects an active status in NPPES.
What type of care does TIMOTHY DYMOND provide?
TIMOTHY DYMOND's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIMOTHY DYMOND?
TIMOTHY DYMOND is associated with Wyoming, Pennsylvania in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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