Timothy Mott, PTA

Physical Therapy Assistant · Bloomington, IL

Individual Active NPI

NPI number 1063084812

Practice location

1402 Leslie Dr
Bloomington, IL 61704-5405
Phone
(309) 603-2500

Open in Google Maps

NPI record

NPI
1063084812
Entity type
Individual (Type 1)
Enumeration date
July 12, 2021
Last updated
July 12, 2021
Certified
July 9, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160009271 IL

Mailing address

713 Bunn St
Bloomington, IL 61701-5466
Phone
(309) 287-9926

About Timothy Mott

Timothy Mott, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1402 Leslie Dr, Bloomington, IL 61704-5405. The NPI number 1063084812 was assigned on July 12, 2021 and the record was last updated on July 12, 2021.

Timothy Mott lists a license in the registry: #160009271 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Mott, PTA?

The NPI number is 1063084812.

What is the phone number of Timothy Mott?

The phone number listed for the practice location is (309) 603-2500.

Where is Timothy Mott located?

1402 Leslie Dr, Bloomington, IL 61704-5405.

What is the taxonomy code for Timothy Mott?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Bloomington

All Physical Therapy Assistant providers in Bloomington, IL →