Provider Demographics
NPI:1780935627
Name:NAUGLE, TIMOTHY (DPT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:NAUGLE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:TIM
Other - Middle Name:
Other - Last Name:NAUGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:20487 SUMMERSONG LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3939
Mailing Address - Country:US
Mailing Address - Phone:301-528-4308
Mailing Address - Fax:
Practice Address - Street 1:6308 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1664
Practice Address - Country:US
Practice Address - Phone:301-530-2383
Practice Address - Fax:301-530-5802
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD159883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist