Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Lawrence Basom, DPT

Individual provider Orthopedic Physical Therapist · NPI 1548503600

Dr. Timothy Lawrence Basom, DPT is a Physical Therapist in Private Practice in Ephrata, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Phs Physical Therapy LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

136 E Lake St
Ephrata, PA 17522
Phone: (717) 738-7979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT022566 (PA)

Record details

NPI number1548503600
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESMarch 27, 2013
Mailing address136 E Lake St, Ephrata, PA 17522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Phs Physical Therapy Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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