MR. TIMOTHY KENNEDY (NPI# 1043587751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043587751 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY KENNEDY |
| Credential | MS, ATC |
| Practice Address |
4225 Genesee St Cheektowaga NY 14225-1994 |
| Mailing Address |
34 Birchwood Ave Apt 5 West Seneca NY 14224-2132 |
| Practice Telephone | 7162043200 |
| Mailing Telephone | 7165158712 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002084-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962856732 | Timothy Kennedy | Internal Medicine | 6701 Airprot Blvd, Ste A101, Mobile, AL 36608-0000 | 2016-04-19 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| 1568433720 | Timothy J Kennedy | Chiropractor | 1712 15th Street Pl, Moline, IL 61265-3961 | 2006-01-27 |
| 1346406238 | Timothy Martin Kennedy | Occupational Therapist | 25 Chateau Ter, Amherst, NY 14226-3927 | 2008-07-31 |
| 1235394255 | Timothy John Kennedy | Surgery | 195 Little Albany St, Suite 560, New Brunswick, NJ 08901-1914 | 2008-07-21 |
| 1790830610 | Timothy Alan Kennedy | Social Worker | 6827 N High St, 121, Worthington, OH 43085-2517 | 2007-01-23 |
| 1891885869 | Timothy B Kennedy | Psychiatry & Neurology | 3188 Atlanta Road, Smyrna, GA 30080 | 2006-10-13 |
| 1417985631 | Timothy J Kennedy | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1356398283 | Timothy C Kennedy | Internal Medicine | 1601 E 19th Ave, 6250, Denver, CO 80218-1216 | 2006-05-27 |
| 1720033319 | Timothy Robert Kennedy | Obstetrics & Gynecology | 1780 Nw Myhre Rd, Suite 2120, Silverdale, WA 98383-8676 | 2006-05-23 |
| Street Address |
4225 GENESEE ST |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-1994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649302233 | Dane Burke | Physical Therapist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2007-03-10 |
| 1881205458 | Patrick Sparks | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-16 |
| 1417568437 | Danielle Dorchak | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-13 |
| 1982215943 | Jessica Zaccour | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-13 |
| 1346851367 | Jeremy Plochko | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-13 |
| 1255863130 | Kyle Cullen | Physician Assistant | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2017-03-30 |
| 1831637222 | University Orthopaedic Services Inc. | Durable Medical Equipment & Medical Supplies | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2017-02-06 |
| 1073059275 | Noreen Roliczek | Registered Nurse | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2017-01-11 |
| 1184074288 | Mary Jo Kish | Nurse Practitioner | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| 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 |
|---|---|---|---|---|
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1669991600 | Kendall Marshall | Specialist/Technologist | 95 Slate Creek Dr Apt 1, Cheektowaga, NY 14227-2844 | 2017-09-11 |
| 1972026540 | Joshua Edward Sikorski | Specialist/Technologist | 185 Diane Dr, Cheektowaga, NY 14225-5201 | 2017-07-25 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1336281211 | Ray F. Harland | Specialist/Technologist | 11 Sprucewood Dr, Cheektowaga, NY 14227-3223 | 2007-02-13 |
| 1821602665 | Dylan E Jay | Specialist/Technologist | 4225 Genesee St Ste 400, Cheektowaga, NY 14225-1994 | 2020-08-31 |
| 1881205458 | Patrick Sparks | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-16 |
| 1417568437 | Danielle Dorchak | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-13 |
| 1982215943 | Jessica Zaccour | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2020-08-13 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
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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.