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

Mr. Timothy Wayne Pemberton, OT

Individual provider Occupational Therapist · NPI 1215411939

Mr. Timothy Wayne Pemberton, OT is an Occupational Therapist in Private Practice in Saint Louis, Missouri. Graduated from Washington University School of Medicine in 2017, 9 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2018
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

4921 Parkview Pl Dept Occupational Therapy Ste 6F
Saint Louis, MO 63110-1032
Phone: (314) 286-1669
Fax: (314) 747-3662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2018009363 (MO)

Record details

NPI number1215411939
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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