James Richard Fynes, LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1447 Rothley Ave
Willow Grove, PA 19090-4817

Phone

(267) 621-9992

NPI assigned

Feb 22, 2024

Sex

Male

Sole proprietor

No

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1245096759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 ROTHLEY AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190904817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 ROTHLEY AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190904817",
            "telephone_number": "267-621-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYNES",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Frederic Freedman, MD
• Lawrence K Freitas, M.D.
• Martha From, CRNP
• Brenda Fuh, PHARMD
• Connor M Fultz, MD
• Sundee L Gable
• Deepa Sree Gadde
• Christine Elizabeth Gale, PSY.D.
• Anne Keeler Galgon, PT, PHD, NCS,
• Joan R. Gangwer, MS,RD,CDE,LDN

• Athletic Trainer in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.