MARISSA LEE ELAM ATC, LAT
NPI 1487119970
Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Q: What is Marissa Elam's NPI number?

The NPI number for Marissa Elam is 1487119970. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Q: What is Marissa Elam'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 Marissa Elam was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 February 08, 2019

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-2550 Get Directions Write a Review

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

Record update history: Jan 23, 2026, Feb 8, 2019 (2 updates tracked since 2019).

On this page

About Marissa Lee Elam Atc, Lat NPPES

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

MARISSA LEE ELAM ATC, LAT (NPI 1487119970) is an individual athletic trainer provider in Indianapolis, Indiana, licensed in Indiana (36004117A) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1487119970

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMARISSA LEE ELAMCredential: ATC, LAT

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address7116 Foxborough Dr Apt 3dLawrence, IN 46226-1212 · (765) 716-3708

Phone(317) 948-2550

Sole ProprietorYes

Enumeration DateFebruary 8, 2019

Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1487119970 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 IN · 36004117A

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.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)