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

Mr. Timothy James Wittenauer

Individual provider Physical Therapist · NPI 1417933953

Mr. Timothy James Wittenauer is a Physical Therapist in Private Practice in Midlothian, Virginia. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
33
Licensed in
VA
In the registry since
2005
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Practice location Address checks out

108 Walton Park Ln
Midlothian, VA 23114-3028
Phone: (804) 560-9575
Fax: (804) 560-9557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305004636 (VA)

Record details

NPI number1417933953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESJuly 13, 2026
Mailing address108 Walton Park Ln, Midlothian, VA 23114-3028

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midlothian