Active NPI
Timothy Oliver Herlihy, ATC, LAT
- Athletic Trainer
- Saint Louis, MO
National Provider Identifier
1326466582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2011030846
- Practice address
- 3026 Laclede Ave
Saint Louis, MO 63103-2136 - Phone
- (314) 340-5988
- NPI assigned
- Apr 3, 2014
- 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 | 2011030846 | MO | Primary |
Addresses
Primary practice location
3026 Laclede Ave
Saint Louis, MO 63103-2136
Mailing address
11611 Misty Moss CT
Saint Louis, MO 63146-4250
Phone (314) 552-1224
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 |
|---|---|---|---|
| 2011030846 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1326466582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11611 MISTY MOSS CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464250",
"telephone_number": "314-552-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 LACLEDE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032136",
"telephone_number": "314-340-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERLIHY",
"first_name": "TIMOTHY",
"middle_name": "OLIVER",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2011030846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.