Provider Demographics
NPI:1528896966
Name:O'MEARA, TIMOTHY (DPT, PT)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:O'MEARA
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 RICHARDS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4410
Mailing Address - Country:US
Mailing Address - Phone:425-800-4488
Mailing Address - Fax:425-201-2380
Practice Address - Street 1:2930 RICHARDS RD STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4410
Practice Address - Country:US
Practice Address - Phone:425-800-4488
Practice Address - Fax:425-201-2380
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61563943225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist