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KEITH ROMALIS ELLISON MA, ATC, CES
NPI 1568823318
Specialist/Technologist - Athletic Trainer in Los Angeles, CA

Active since March 08, 2016
ONE LMU DRIVE, GERSTEN PAVILION - ATHLETIC TRAINING ROOM, LOS ANGELES, CA 90045(424) 789-4071(310) 338-4401 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Romalis Ellison Ma, Atc, Ces NPPES

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

KEITH ROMALIS ELLISON MA, ATC, CES (NPI 1568823318) is an individual athletic trainer provider in Los Angeles, California and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1568823318
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKEITH ROMALIS ELLISONCredential: MA, ATC, CES
Location AddressONE LMU DRIVE, GERSTEN PAVILION - ATHLETIC TRAINING ROOMLos Angeles, CA 90045
Mailing AddressOne Lmu Drive, Gersten Pavilion - Athletic Training RoomLos Angeles, CA 90045 · (424) 789-4071
Phone(424) 789-4071
Fax(310) 338-4401
Sole ProprietorYes
Enumeration DateMarch 8, 2016
✔ NPI 1568823318 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
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.
ONE LMU DRIVE, Los Angeles, CA 90045
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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 Keith Ellison's NPI number?

The NPI number for Keith Ellison is 1568823318. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Where is Keith Ellison located?

Keith Ellison practices at One Lmu Drive Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045. The listed phone number is (424) 789-4071.

What is Keith Ellison'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 Keith Ellison was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.