MR. ERIC DANIEL ELLIS MS, LAT, ATC
NPI 1154741692
Specialist/Technologist - Athletic Trainer in Havertown, PA

Q: What is Eric Ellis's NPI number?

The NPI number for Eric Ellis is 1154741692. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Q: What is Eric Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Ellis was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 23, 2014

414 BRYAN ST, HAVERTOWN, PA 19083(484) 680-6341(610) 359-1686 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Eric Daniel Ellis Ms, Lat, Atc NPPES

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

MR. ERIC DANIEL ELLIS MS, LAT, ATC (NPI 1154741692) is an individual athletic trainer provider in Havertown, Pennsylvania, licensed in Pennsylvania (RT004288) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1154741692

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. ERIC DANIEL ELLISCredential: MS, LAT, ATC

Location Address414 BRYAN STHavertown, PA 19083-4311

Mailing Address414 Bryan StHavertown, PA 19083-4311 · (484) 680-6341 · Fax (610) 359-1686

Phone(484) 680-6341

Fax(610) 359-1686

Sole ProprietorYes

Enumeration DateApril 23, 2014

✔ NPI 1154741692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in PA · RT004288

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.

414 BRYAN ST, Havertown, PA 19083

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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 Eric Ellis's NPI number?

The NPI number for Eric Ellis is 1154741692. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Eric Ellis located?

Eric Ellis practices at 414 Bryan St, Havertown, PA 19083. The listed phone number is (484) 680-6341.

What is Eric 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 Eric Ellis was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.