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TIMOTHY AARON STANLEY FRACASSI LAT
NPI 1629474648
Specialist/Technologist - Athletic Trainer in Southfield, MI

Active since November 18, 2014
28650 LAHSER RD, SOUTHFIELD, MI 48034(248) 789-1068 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Timothy Aaron Stanley Fracassi Lat NPPES

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

TIMOTHY AARON STANLEY FRACASSI LAT (NPI 1629474648) is an individual athletic trainer provider in Southfield, Michigan, licensed in Michigan (2601000720) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1629474648
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTIMOTHY AARON STANLEY FRACASSICredential: LAT
Location Address28650 LAHSER RDSouthfield, MI 48034-2020
Mailing Address16935 W 12 Mile RdSouthfield, MI 48076-2101 · (248) 789-1068
Phone(248) 789-1068
Sole ProprietorYes
Enumeration DateNovember 18, 2014
✔ NPI 1629474648 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 MI · 2601000720
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.
28650 LAHSER RD, Southfield, MI 48034
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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 Fracassi's NPI number?

The NPI number for Timothy Fracassi is 1629474648. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Timothy Fracassi located?

Timothy Fracassi practices at 28650 Lahser Rd, Southfield, MI 48034. The listed phone number is (248) 789-1068.

What is Timothy Fracassi'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 Fracassi was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.