Provider Demographics
NPI:1740929660
Name:TURPEN, TIMOTHY (DPT)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:TURPEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 GOLDILOCKS LN
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-4537
Mailing Address - Country:US
Mailing Address - Phone:909-342-4604
Mailing Address - Fax:
Practice Address - Street 1:10001 S I-35 FRONTAGE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747
Practice Address - Country:US
Practice Address - Phone:512-440-0555
Practice Address - Fax:512-448-1113
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3128647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist