NPI age
7 years
Enumerated 2018-07-27
● Active
Type 1 · Individual
Timothy Wayne Cork, CPRP, BS
Cork is 1 of 26 specialist providers in Coeur D Alene and 1 of 305 in Idaho.
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-07-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 305 active specialist providers in Idaho.
NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Practice location
2201 Ironwood Pl
Coeur D Alene, ID 838142670
Mailing address
2201 Ironwood Pl
Coeur D Alene, ID 838142670
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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