Timothy Gordon Spears, LAT, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

AT.0001609 Issued in CO

Practice address

7951 W 65TH Ave
Arvada, CO 80004-3318

Phone

(303) 476-0640

NPI assigned

Oct 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1235901950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 CHASE DR APT 58",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031060",
            "telephone_number": "303-476-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 W 65TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043318",
            "telephone_number": "303-476-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "TIMOTHY",
        "middle_name": "GORDON",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CO",
            "license": "AT.0001609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Sousa, NBH-HWC
• Melissa Soward, LPC
• Ana Gabriele Spagnuolo Zanovello
• Speakmutch LLC
• Gary E. Spears, D. C.
• Special Happens, Inc.
• Special Needs Network
• Special Needs Supply Co. of the Rockies
• Speech Garden LLC
• Jordan Sperle, ATC, ROT

• Sports Medicine (Emergency Medicine) Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Sports Medicine (Emergency Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.