Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY ELLIS
NPI 1669438073
Specialist/Technologist - Athletic Trainer in Manassas, VA

Active since April 25, 2006
9005 TUDOR LN, MANASSAS, VA 20110(703) 257-8500 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey Ellis NPPES

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

STACEY ELLIS (NPI 1669438073) is an individual athletic trainer provider in Manassas, Virginia, licensed in Virginia (0126000571) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1669438073
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSTACEY ELLIS
Location Address9005 TUDOR LNManassas, VA 20110-5754
Mailing Address110 Township CtStephens City, VA 22655-2962
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1669438073 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 VA · 0126000571
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.
9005 TUDOR LN, Manassas, VA 20110

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 Stacey Ellis's NPI number?

The NPI number for Stacey Ellis is 1669438073. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Stacey Ellis located?

Stacey Ellis practices at 9005 Tudor Ln, Manassas, VA 20110. The listed phone number is (703) 257-8500.

What is Stacey 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 Stacey Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.