Active NPI
Timothy A Meyer, ATC
- Athletic Trainer
- Wheeling, IL
National Provider Identifier
1013983139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 900 S Elmhurst Rd
Wheeling, IL 60090-5507 - Phone
- (847) 718-7136
- Fax
- (847) 718-7138
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | IL | Primary |
Addresses
Primary practice location
900 S Elmhurst Rd
Wheeling, IL 60090-5507
Mailing address
701 Eastchester Rd
Wheeling, IL 60090-7311
Phone (847) 229-8425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1013983139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 EASTCHESTER RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600907311",
"telephone_number": "847-229-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S ELMHURST RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600905507",
"telephone_number": "847-718-7136",
"fax_number": "847-718-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "TIMOTHY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.