Timothy John Smith, LAT, ATC – Athletic Trainer

Key facts

NPI: 1013689702
Entity type: Individual (NPI type 1)
Primary specialty: Athletic Trainer 2255A2300X
License: RT0068103 (PA)
Practice address: 8353 University Blvd
Moon TWP, PA 15108-4202
Phone: (412) 264-9440
NPI assigned: Sep 30, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Moon Area School District Local Education Agency (LEA) · Coraopolis, PA · NPI 1568591170

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
RT0068103	PA	MD	Athletic Trainer

Practice roles

Organization	Specialty	Status	New patients
Moon Area School District		Past since Oct 5, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Athletic Trainer	2255A2300X	RT0068103	PA	Yes

Addresses

Primary practice location

8353 University Blvd
Moon TWP, PA 15108-4202

Mailing address

898 Old Thorn Run Rd
Coraopolis, PA 15108-1182
Phone (412) 390-6520

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	timothy.smith2@ahn.org		Allegheny Health Network

Other providers in Moon TWP, PA

All providers in Moon TWP, PA · Athletic Trainer in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.