Organization Active NPI

TJK Personal Training

  • Point of Service
  • Clayton, NC
National Provider Identifier
1831245042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
NA
Legal business name
TJK PERSONAL TRAINING
Practice address
85 Troy Dr
Clayton, NC 27520-5986
Phone
(919) 475-0186
NPI assigned
Jan 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Joseph Kelly
Title
Owner
Phone
(919) 475-0186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X NA Primary

Addresses

Primary practice location

85 Troy Dr
Clayton, NC 27520-5986

Mailing address

85 Troy Dr
Clayton, NC 27520-5986
Phone (919) 475-0186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831245042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 TROY DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205986",
            "telephone_number": "919-475-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 TROY DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205986",
            "telephone_number": "919-475-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJK PERSONAL TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-475-0186"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

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