TYLER KIMBAR
NPI 1245788108
Specialist/Technologist - Athletic Trainer in South Portland, ME

Active since September 20, 2016
119 GANNETT DR, SOUTH PORTLAND, ME 04106(207) 773-0040(207) 661-4630 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2019, Sep 20, 2016 (2 updates tracked since 2016).

About Tyler Kimbar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER KIMBAR (NPI 1245788108) is an individual athletic trainer provider in South Portland, Maine, licensed in Maine (AT 540) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1245788108
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTYLER KIMBAR
Location Address119 GANNETT DRSouth Portland, ME 04106-6942
Mailing Address119 Gannett DrSouth Portland, ME 04106-6942 · (207) 773-0040 · Fax (207) 667-4630
Fax(207) 661-4630
Sole ProprietorYes
Enumeration DateSeptember 20, 2016
Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration
NPI 1245788108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in ME · AT 540
Definition

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.

119 GANNETT DR, South Portland, ME 04106

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Internal Medicine (Cardiovascular Disease)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Physician Assistant
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Psychologist (Cognitive & Behavioral)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Family Medicine (Sports Medicine)
119 GANNETT DR
SOUTH PORTLAND, ME 04106
Psychologist (Clinical)
119 GANNETT DR
SOUTH PORTLAND, ME 04106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245788108, enumerated as an "individual" on September 20, 2016.

The provider is located at 119 GANNETT DR SOUTH PORTLAND, ME 04106 and the phone number is (207) 773-0040.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.