Timothy Faulkner, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5 Perth Dr
Stratham, NH 03885-2222

Phone

(603) 686-0509

NPI assigned

Oct 24, 2019

Last updated

Aug 24, 2020By 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 2

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1770126518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PERTH DR",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PERTH DR",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852222",
            "telephone_number": "603-686-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "TIMOTHY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Duxbury Jr., PT
• Jane Edmiston
• Empowering Roots Occupational Therapy, LLC
• Mary Lynn Fahey, ARNP
• Carole Lee Farina, OTR
• Eileen Carr Forrest, M.D.
• From the Ground Up Podiatry
• Gisele Georges
• Monica Michelle Gifford, MD
• Ellen Gosselin, OTR/L

• Athletic Trainer in Stratham, NH
• Providers in Stratham, NH by specialty
• Athletic Trainer in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.