ELLIS D PELLETIER (NPI# 1285043984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285043984 |
| Entity Type | Individual |
| Full Name | ELLIS D PELLETIER |
| Credential | ATC |
| Practice Address |
118 Bennett Dr Suite 140 Caribou ME 04736-2052 |
| Practice Telephone | 2074986334 |
| Mailing Telephone | 2074986334 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT536 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
118 BENNETT DR SUITE 140 |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386686616 | County Physical Therapy, LLC | Occupational Therapist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2006-06-12 |
| 1700325289 | Courtney L Churchill | Physical Therapist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2017-02-17 |
| 1508292897 | Ryan Thurston | Occupational Therapist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2013-09-19 |
| 1760616486 | Marilee Elizabeth Scott | Specialist/Technologist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2009-05-08 |
| 1740293190 | Mark J Rossignol | Physical Therapist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2006-08-15 |
| 1952330235 | Jeremy Dugal | Physical Therapist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1215998182 | Joshua Camille Smart | Specialist/Technologist | 22 Birdseye Ave, Caribou, ME 04736-1669 | 2006-03-30 |
| 1336374578 | Shawn Berry | Specialist/Technologist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2009-05-18 |
| 1760616486 | Marilee Elizabeth Scott | Specialist/Technologist | 118 Bennett Dr, Suite 140, Caribou, ME 04736-2052 | 2009-05-08 |
| 1942441126 | Christopher W Jackson | Specialist/Technologist | 163 Van Buren Rd, Suite 1, Caribou, ME 04736-3567 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958581 | Teresa Drag | Specialist/Technologist | 512 Paris Hill Rd, Paris, ME 04271 | 2020-10-01 |
| 1639784531 | Debra Lynn Gunn | Specialist/Technologist | 50 Church Rd, Holden, ME 04429-7152 | 2020-09-09 |
| 1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
| 1598377962 | Barbara Anne Cookson | Specialist/Technologist | 167 Wilson St, Brewer, ME 04412-2025 | 2020-08-18 |
| 1811533730 | Brianna Leslie Genthner | Specialist/Technologist | 389 Egypt Rd, Damariscotta, ME 04543-4306 | 2019-11-26 |
| 1376185785 | Mount Desert Island Ymca | Specialist/Technologist | 21 Park Street, Bar Harbor, ME 04609 | 2019-10-17 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1326697145 | Karen Elizabeth Rendall | Specialist/Technologist | 120 Leach Hill Rd, Casco, ME 04015-3237 | 2019-09-04 |
| 1659929537 | Bronte Annette Fontaine | Specialist/Technologist | 7 Bickford Ave, Brunswick, ME 04011-3125 | 2019-09-03 |
| 1144889403 | Evan Mark Paradis | Specialist/Technologist | 100 Middle St Apt 1, Old Town, ME 04468-1480 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.