Timothy Harmon, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00096700 Issued in NJ

Practice address

712 Philadelphia Blvd
Sea Girt, NJ 08750-2513

Phone

(732) 245-2860

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By the provider in NPPES

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1548419260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087500463",
            "telephone_number": "732-245-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 PHILADELPHIA BLVD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502513",
            "telephone_number": "732-245-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00096700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Greeves Grothues, LCSW
• Francis Peter Halas, M.D.
• Maryna Hall, FNP-BC
• Lindsay Hamel
• Kristin F Harmon, ATC, CSCS
• Maureen Christina Heilmann, RDN, CDCES
• Simone Hennings
• Meghan Hernandez, D.M.D.
• Kerri Hiznay, PT, DPT
• Holly C. Gaul, L.L.C.

• Athletic Trainer in Sea Girt, NJ
• Providers in Sea Girt, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.