Active NPI
Timothy Allen Crum, ATC
- Athletic Trainer
- Springfield, VA
National Provider Identifier
1215509534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126003565
- Practice address
- 6915 Braddock Rd
Springfield, VA 22151-3602 - Phone
- (703) 941-1220
- NPI assigned
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 0126003565 | VA | Primary |
Addresses
Primary practice location
6915 Braddock Rd
Springfield, VA 22151-3602
Mailing address
9048 Arlington Blvd
Fairfax, VA 22031-2602
Phone (757) 775-8025
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126003565 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1215509534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9048 ARLINGTON BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312602",
"telephone_number": "757-775-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 BRADDOCK RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513602",
"telephone_number": "703-941-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUM",
"first_name": "TIMOTHY",
"middle_name": "ALLEN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-15",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126003565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.