Active NPI
Timothy Zinke, ED.D., ATC, LAT
- Athletic Trainer
- Pierceton, IN
National Provider Identifier
1235536285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36003799A
- Practice address
- 11 EMS B10 LN
Pierceton, IN 46562-9120 - Phone
- (574) 372-5100
- NPI assigned
- Nov 19, 2014
- 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 | 36003799A | IN | Primary |
Addresses
Primary practice location
11 EMS B10 LN
Pierceton, IN 46562-9120
Mailing address
11 EMS B10 LN
Pierceton, IN 46562-9120
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 |
|---|---|---|---|
| 36003799A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1235536285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EMS B10 LN",
"city": "PIERCETON",
"state": "IN",
"postal_code": "465629120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EMS B10 LN",
"city": "PIERCETON",
"state": "IN",
"postal_code": "465629120",
"telephone_number": "574-372-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINKE",
"first_name": "TIMOTHY",
"credential": "ED.D., ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36003799A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pierceton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.