Individual provider Active NPI

Benjamin Robert Timson, PHD, ATC, LAT

  • Athletic Trainer
  • Fort Worth, TX
National Provider Identifier
1942227525
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT6206 Issued in TX
Practice address
Texas Christian University 2800 University Drive
Fort Worth, TX 76129
Phone
(817) 257-6737
NPI assigned
Jul 17, 2006
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6206 TX Primary

Addresses

Primary practice location

Texas Christian University 2800 University Drive
Fort Worth, TX 76129

Mailing address

Texas Christian University 2800 University Drive
Fort Worth, TX 76129-0001
Phone (817) 257-6737

Other practice location 1

1651 Naismith Dr
Allen Fieldhouse Attn: Athletic Training
Lawrence, KS 66045-7538
Phone (785) 331-9851

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AT6206TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1942227525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TEXAS CHRISTIAN UNIVERSITY 2800 UNIVERSITY DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761290001",
            "telephone_number": "817-257-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS CHRISTIAN UNIVERSITY 2800 UNIVERSITY DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76129",
            "telephone_number": "817-257-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Naismith Dr",
            "address_2": "Allen Fieldhouse Attn: Athletic Training",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660457538",
            "country_code": "US",
            "telephone_number": "785-331-9851",
            "fax_number": "785-864-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMSON",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.