Provider Demographics
NPI:1265822993
Name:ROBINSON, TIMOTHY I
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:ROBINSON
Suffix:I
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:TIMOTHY
Other - Middle Name:SCOTT
Other - Last Name:ROBINSON
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:8257 NC HIGHWAY 902
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-7351
Mailing Address - Country:US
Mailing Address - Phone:919-883-6506
Mailing Address - Fax:
Practice Address - Street 1:1408 GREENWAY CT
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-6953
Practice Address - Country:US
Practice Address - Phone:919-480-9017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA5548225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant