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KELLY S ELLIS ATC, LAT, PTA
NPI 1104226109
Specialist/Technologist - Athletic Trainer in Atlanta, GA

Active since August 26, 2014
3276 NORTHSIDE PKWY NW UNIT 4410, ATLANTA, GA 30327(678) 525-6256 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly S Ellis Atc, Lat, Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY S ELLIS ATC, LAT, PTA (NPI 1104226109) is an individual athletic trainer provider in Atlanta, Georgia, licensed in Georgia (AT002701) and active in the NPI registry since August 2014. She maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1104226109
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKELLY S ELLISCredential: ATC, LAT, PTA
Location Address3276 NORTHSIDE PKWY NW UNIT 4410Atlanta, GA 30327-2344
Mailing Address3276 Northside Pkwy Nw Unit 4410Atlanta, GA 30327-2344 · (678) 525-6256
Phone(678) 525-6256
Sole ProprietorYes
Enumeration DateAugust 26, 2014
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1104226109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT002701
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3276 NORTHSIDE PKWY NW UNIT 4410, Atlanta, GA 30327
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Secondary Practice Location 1

Location 19621 Fontainebleau Blvd, 515Miami, FL 33172-6814 · Phone (678) 525-6256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Ellis's NPI number?

The NPI number for Kelly Ellis is 1104226109. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Kelly Ellis located?

Kelly Ellis practices at 3276 Northside Pkwy NW Unit 4410, Atlanta, GA 30327. The listed phone number is (678) 525-6256.

What is Kelly Ellis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kelly Ellis was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.