Timothy Alan Wixson, PT
Physical Therapist, Orthopedic in Augusta, GA. Individual provider (NPI-1).
NPI number1124277553
StatusActive
Last updated in NPPESMay 19, 2011
Details
- NPI
- 1124277553
- Entity type
- Individual (NPI-1)
- Name
- Timothy Alan Wixson
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2008
- Last updated
- May 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 008955 | GA | Yes |
| 2251S0007X | Physical Therapist, Sports | 008955 | GA |
Practice location
1120 15th StAugusta, GA 30912-0004
Phone 706-721-3494 · Fax 706-721-3503
Mailing address
1206 Glenwood DrAugusta, GA 30904-3341
Phone 706-364-1206
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Orthopedic Physical Therapist providers in Augusta · All 8,576 providers in Augusta
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