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

Tim Shride

Individual provider Orthotist · NPI 1043833619

Tim Shride is an Orthotist in Sacramento, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3800 Watt Ave Ste 151
Sacramento, CA 95821-2688
Phone: (916) 482-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotist Taxonomy 222Z00000X

Record details

NPI number1043833619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020
Mailing address10717 126th Pl Ne, Kirkland, WA 98033-4756

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