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TIMOTHY E WALL A.T.
NPI 1346263969
Specialist/Technologist - Athletic Trainer in Jacksonville, FL

Active since July 25, 2006
1325 SAN MARCO BLVD, #102, JACKSONVILLE, FL 32207(904) 858-7045(904) 858-7047 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy E Wall A.t. NPPES

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

TIMOTHY E WALL A.T. (NPI 1346263969) is an individual athletic trainer provider in Jacksonville, Florida, licensed in Florida (AL351) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1346263969
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTIMOTHY E WALLCredential: A.T.
Location Address1325 SAN MARCO BLVD, #102Jacksonville, FL 32207-8568
Mailing Address1325 San Marco Blvd, Suite 701Jacksonville, FL 32207-8568 · (904) 858-6418 · Fax (904) 858-6490
Phone(904) 858-7045
Fax(904) 858-7047
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346263969 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 FL · AL351
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.
1325 SAN MARCO BLVD, Jacksonville, FL 32207
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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.

KRISTIN KERN D.P.T.
Physical Therapist
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
TIFFANY KIDD ATC
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
NICOLE K ARMSTRONG ATC
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
SONYA M THIGPEN A.T.
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
DR. MOHAMED OMAR RADWAN M.D.
Internal Medicine (Pulmonary Disease)
1325 SAN MARCO BLVD, REID BUILDING, STE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
MRS. EMILY LISA REA ARNP
Nurse Practitioner (Family)
1325 SAN MARCO BLVD, REID BUILDING SUITE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
GREGORY HEETER M.S., ATC, LAT
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Duval County (904) 858-7045
WESLEY W. JETT PA-C
Physician Assistant
1325 SAN MARCO BLVD, SUITE 200
JACKSONVILLE, FL 32207
Duval County (904) 346-3465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Wall's NPI number?

The NPI number for Timothy Wall is 1346263969. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Timothy Wall located?

Timothy Wall practices at 1325 San Marco Blvd #102, Jacksonville, FL 32207. The listed phone number is (904) 858-7045.

What is Timothy Wall's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.