Provider Demographics
NPI:1033110135
Name:EARMAN, TIMOTHY MICHAEL (DPT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:MICHAEL
Last Name:EARMAN
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 1:110 BRECKENRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-1004
Mailing Address - Country:US
Mailing Address - Phone:724-264-4255
Mailing Address - Fax:724-264-4273
Practice Address - Street 1:110 BRECKENRIDGE ST
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1004
Practice Address - Country:US
Practice Address - Phone:724-264-4255
Practice Address - Fax:724-264-4273
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015063208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAEA1363148OtherBLUE CROSS BLUE SHIELD
PAEA1363148OtherBLUE CROSS BLUE SHIELD