Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY MAX WALLENBURG, PT, DPT
ActiveDR. TIMOTHY MAX WALLENBURG, PT, DPT is a Physical Therapy Assistant healthcare provider located in SANDY, Oregon. NPI 1497358451 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SANDY, OR
Registration Details
- NPI Number
- 1497358451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2020 (5.6895489519968 yrs)
- Last Updated
- Oct 6, 2025
- License
-
65063 (OR)
Practice Information
- Address
-
17420 MEINIG AVESANDY, OR, 970558068Browse OR providers · Browse ZIP 97055
- Phone
- 5034270118
- Fax
- 5034270279
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SANDY, OR
| Name | Credential | NPI |
|---|---|---|
| DR. NANCY PENROD MONNIE | DPT | 1154537033 |
| DR. KORDELL LEWIS MCPHERSON | DPT | 1033845953 |
| VICTORIA ELIZABETH GUINN | DPT, PT | 1578276762 |
| STEWART WILENT | DPT, PT | 1508661018 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.