Jim Kimbal, ATC, LAT, LMT, CSCS
Jim Kimbal, ATC, LAT, LMT, CSCS is a provider specialising in Athletic Trainer in Fairbanks, AK, registered under NPI 1114985322. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1650 COWLES STREET FMH REHAB DEPARTMENT, Fairbanks, AK 99701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 124560 | AK | Athletic Trainer primary |
| 10650493-4810 | UT | Athletic Trainer |
| 227005348 | IL | Massage Therapist |
| 117476 | AK | Massage Therapist |
Licences are recorded in 3 states: AK, UT, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 3 states
This provider holds licences in 3 states: Alaska, Illinois and Utah. The practice address on file is in Fairbanks, AK, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Athletic Trainer covers
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. NUCC Health Care Provider Taxonomy, code 2255A2300X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2255A2300X | Athletic Trainer Athletic Trainer | 124560 | AK | primary |
| 2255A2300X | Athletic Trainer Athletic Trainer | 10650493-4810 | UT | |
| 225700000X | Massage Therapist | 227005348 | IL | |
| 225700000X | Massage Therapist | 117476 | AK |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114985322 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 4, 2006 |
| Last updated | Sep 28, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | ATC, LAT, LMT, CSCS |
| Practice address |
1650 COWLES STREET FMH REHAB DEPARTMENT Fairbanks, AK 99701 (907) 458-5670 |
| Mailing address |
PO BOX 74293 Fairbanks, AK 99707 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 9 | 8 | 5 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 9 | 8 | 1 | 3 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.