Mr Timothy R Ickes, MPT is a
Physical Therapist based in Milton, West Virginia. Mr Timothy R Ickes is licensed to practice in West Virginia (license number PT001895) and his current practice location is
1509 W Main St Ste 201, Milton, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 743-6995.
NPI number for Mr Timothy R Ickes is 1588854954 and his current mailing address is Po Box 687, Greenup, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588854954.
Healthcare Provider's Profile
Full Name | Mr Timothy R Ickes |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1509 W Main St Ste 201, Milton, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588854954
- Provider Enumeration Date: 07/31/2007
- Last Update Date: 07/31/2007
Medical Identifiers
Medical identifiers for Mr Timothy R Ickes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588854954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT001895 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy R Ickes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Timothy R Ickes, MPT Po Box 687, Greenup, KY 41144-0687 Ph: (606) 473-1080 | Mr Timothy R Ickes, MPT 1509 W Main St Ste 201, Milton, WV 25541-1105 Ph: (304) 743-6995 |
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