Timothy Crooks

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

809638 Issued in IN

Practice address

11001 Chester Garden Cir
Chester, VA 23831-5701

Phone

(804) 475-8681

NPI assigned

Jul 31, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1013495225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 THORNTON HEATH DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322470",
            "telephone_number": "804-475-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 CHESTER GARDEN CIR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315701",
            "telephone_number": "804-475-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IN",
            "license": "809638",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "IN",
            "license": "809638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Balance PT & Pilates LLC
• Christine M Cosgrove, ANP
• Krista Marie Cramer, PHARM.D.
• Darla Jones Cravey, COTA/L
• Creative Pathways to Hope LLC
• Lannie William Cropper Jr., RPH
• Elizabeth McGill Cross, M.D.
• Victoria White Crowder, DDS
• Crown RX Inc.
• Kara Cunningham, NP

• Clinical Exercise Physiologist in Chester, VA
• Providers in Chester, VA by specialty
• Clinical Exercise Physiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.