Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy John Fugate

Individual provider Athletic Trainer · NPI 1508478421

Timothy John Fugate is an Athletic Trainer in Lititz, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

51 Peters Rd Ste 200
Lititz, PA 17543-7685
Phone: (717) 627-7675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RTO000456 (PA)

Record details

NPI number1508478421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 21, 2020
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address113 Country Side Ln, Leola, PA 17540-1647

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