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

Q: What is Tyler Kimbar's NPI number?

The NPI number for Tyler Kimbar is 1245788108. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Q: What is Tyler Kimbar's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Kimbar was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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

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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

Phone(207) 773-0040

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

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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.

NATALIE ALISON HUNT MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)