Active NPIIndividual provider

Timothy Jacques, ATC

Specialist/Technologist, Athletic Trainer in Agawam, Massachusetts

NPI Number1689624694
Practice location
760 Cooper St, Agawam, MA 01001-2177
Fax
—
Last updated
July 13, 2026

Timothy Jacques is a Specialist/Technologist, Athletic Trainer based in Agawam, MA. Timothy Jacques practices in Agawam, MA and has the professional credentials of ATC. The NPI Number for Timothy Jacques is 1689624694. The current practice location address for Timothy Jacques is 760 Cooper St, Agawam, MA 01001-2177 and can be reached out via phone at 413-246-2271.

Provider Profile Details

NPI Number
1689624694
Provider Name
Timothy Jacques
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
760 Cooper St, Agawam, MA 01001-2177
Phone Number
413-246-2271
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
760 Cooper St
Agawam, MA 01001-2177
City
Agawam
Zip
01001-2177
Phone Number
413-246-2271
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
490 N West St
Feeding Hills, MA 01030-1029
City
Feeding Hills
State
MA
Zip
01030-1029
Phone Number
413-789-1851

License Information

License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy Jacques, ATC?

The NPI number of Timothy Jacques, ATC is 1689624694. It was assigned on May 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Timothy Jacques, ATC?

Timothy Jacques, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Timothy Jacques, ATC practice?

The practice location is 760 Cooper St, Agawam, MA 01001-2177. The office can be reached at 413-246-2271 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689624694 directly on the NPPES registry website.

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