Provider Demographics
NPI:1669029351
Name:ROSSNER, TIMOTHY (PT, DPT)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:ROSSNER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 E MAIN ST STE 2 #111
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078
Mailing Address - Country:US
Mailing Address - Phone:717-710-6920
Mailing Address - Fax:855-710-6454
Practice Address - Street 1:1 NEUMANN DR
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014
Practice Address - Country:US
Practice Address - Phone:717-710-6920
Practice Address - Fax:855-710-6454
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist