Active NPI
Timothy Neal, MS, ATC
- Athletic Trainer
- Liverpool, NY
National Provider Identifier
1629440060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 029
- Practice address
- 8285 Dampier Cir
Liverpool, NY 13090-4100 - Phone
- (315) 877-5151
- NPI assigned
- Oct 26, 2015
- 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 | 029 | NY | Primary |
Addresses
Primary practice location
8285 Dampier Cir
Liverpool, NY 13090-4100
Mailing address
8285 Dampier Cir
Liverpool, NY 13090-4100
Phone (315) 877-5151
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1629440060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8285 DAMPIER CIR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130904100",
"telephone_number": "315-877-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 DAMPIER CIR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130904100",
"telephone_number": "315-877-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "TIMOTHY",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
- Nancy a Radecki LCSW PC
- Jason Naradzay
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Maria Naylor
- NC Medical of Ny PC
- Brenda Neill, RN
- Alice Nellenbach, PTA
- Brittany Taylor Neudecker, OD
- New York Anesthesiology Medical Specialties, PC (New York Spine and Wellness Center)
- New York Pain Medicine Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.