DR. TIMOTHY JAMES HENRY (NPI# 1871124271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871124271 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES HENRY |
| Credential | PHD, ATC |
| Practice Address |
350 New Campus Dr Brockport NY 14420-2914 |
| Mailing Address |
30 Wind Mill Rd Pittsford NY 14534-3135 |
| Practice Telephone | 5853955357 |
| Mailing Telephone | 5856623010 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000545-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122013 | Timothy J Henry | Chiropractor | 7274 Rhea County Hwy, Dayton, TN 37321-6205 | 2005-05-24 |
| 1891065801 | Timothy J Henry | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2012-01-06 |
| 1649555061 | Timothy Glen Henry | Family Medicine | 3200 W Euless Blvd, Euless, TX 76040-6253 | 2011-10-17 |
| 1871701573 | Timothy Cooper Henry | Social Worker | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-18 |
| 1114987997 | Timothy D Henry | Internal Medicine | 2123 Auburn Ave Ste 136, Cincinnati, OH 45219-2906 | 2006-03-24 |
| Street Address |
350 NEW CAMPUS DR |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322063 | Lee James Cohen | Specialist | 350 New Campus Dr, Brockport, NY 14420-2997 | 2006-05-12 |
| 1609482702 | John Leonard Jackson | Specialist/Technologist | 350 New Campus Dr, Brockport, NY 14420-2997 | 2020-09-23 |
| 1609379577 | Lucas Myer | Counselor | 350 New Campus Dr, Brockport, NY 14420-2997 | 2018-03-16 |
| 1528575479 | Corey Everett Lucey | Student in an Organized Health Care Education/Training Program | 350 New Campus Dr, Brockport, NY 14420-2997 | 2018-01-01 |
| 1346756566 | Quinn Maloney | Nurse Practitioner | 350 New Campus Dr, Brockport, NY 14420-2997 | 2017-12-26 |
| 1003210923 | Olivia Loveria | Counselor | 350 New Campus Dr, Brockport, NY 14420-2997 | 2014-10-21 |
| 1033465539 | State University of New York College At Brockport | Clinic/Center | 350 New Campus Dr, Hazen Hall, Brockport, NY 14420-2997 | 2012-08-02 |
| 1205195278 | Thomas G Shafer | Registered Nurse | 350 New Campus Dr, Suny College At Brockport, Brockport, NY 15520 | 2012-05-11 |
| 1194027243 | Kerry E Moore | Nurse Practitioner | 350 New Campus Dr, Suny College At Brockport Hazen Health Center, Brockport, NY 14420-2997 | 2010-11-23 |
| 1518173970 | Elizabeth S Caruso | Nurse Practitioner | 350 New Campus Dr, Brockport, NY 14420-2997 | 2007-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1386172062 | Allison Manly | Dentist | 1000 Transit Way, Brockport, NY 14420 | 2017-05-25 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
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| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477512358 | Linda D Heintz | Specialist/Technologist | 40 Allen St, Brockport Central School District, Brockport, NY 14420 | 2006-03-21 |
| 1609482702 | John Leonard Jackson | Specialist/Technologist | 350 New Campus Dr, Brockport, NY 14420-2997 | 2020-09-23 |
| 1689173932 | Jason Wentworth | Specialist/Technologist | 40 Allen St, Brockport, NY 14420 | 2018-02-01 |
| 1124248976 | Amber Marie Nichols | Specialist/Technologist | 92 West Ave, Brockport, NY 14420-1306 | 2007-04-26 |
| 1720018385 | Susan Mary Wielgosz | Specialist/Technologist | 350 New Campus Dr, Suny College At Brockport, Brockport, NY 14420-2997 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.