MR. CHAD R KELLEY ATC NPI 1003004433

Specialist/Technologist (Athletic Trainer) in Stoughton, MA

About CHAD KELLEY

Chad Kelley is a provider in Stoughton, MA. The NPI number assigned to this provider is 1003004433. The practitioner's primary taxonomy code is Specialist/Technologist (2255A2300X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003004433 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. CHAD R KELLEY ATC
Provider Location Address232 PEARL ST STOUGHTON, MA 02072 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address232 PEARL ST STOUGHTON, MA 02072 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-10-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. CHAD R KELLEY ATC
232 PEARL ST
STOUGHTON, MA
ZIP 02072
Phone: (781) 344-4000
Fax: (781) 344-7040
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Mailing Address

MR. CHAD R KELLEY ATC
232 PEARL ST
STOUGHTON, MA
ZIP 02072
Phone: (781) 344-4000
Fax: (781) 344-7040

Primary Taxonomy

Taxonomy Code2255A2300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSpecialist/Technologist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
SpecializationAthletic Trainer
License StateMA
Taxonomy DescriptionAthletic 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.

Map Location


MR. CHAD R KELLEY ATC address is 232 PEARL ST STOUGHTON, MA 02072

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891821625TOWN OF STOUGHTON
Organization
Local Education Agency (LEA)232 PEARL ST
STOUGHTON, MA 02072
(781) 344-4000