BENJAMIN WILLIAM SPENCER ELLIOTT (NPI# 1376095737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376095737 |
| Entity Type | Individual |
| Full Name | BENJAMIN WILLIAM SPENCER ELLIOTT |
| Credential | ATC |
| Practice Address |
114 Grand Reserve Dr Pelham AL 35124-1272 |
| Mailing Address |
5037 Red Oak Dr Oxford AL 36203-3350 |
| Practice Telephone | 2565910017 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1939 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942445069 | Benjamin George Elliott | Music Therapist | 2326 Greenleaf Blvd, Elkhart, IN 46514-4056 | 2008-12-03 |
| Street Address |
114 GRAND RESERVE DR |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| 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 |
|---|---|---|---|---|
| 1699314492 | Taylor Hopkins | Specialist/Technologist | 23 Third Ave, Pelham, NY 10803-1424 | 2019-12-27 |
| 1245892157 | Maria C Sehovich | Specialist/Technologist | 33 Turtle Crossing Rd, Pelham, NH 03076-3383 | 2019-07-01 |
| 1891352936 | Morgan Pinksten | Specialist/Technologist | 11 Indian Valley Rd, Pelham, NH 03076-2604 | 2019-05-23 |
| 1528559531 | Grant Webster | Specialist/Technologist | 100 Mcguire Ln, Pelham, AL 35124-3614 | 2018-05-24 |
| 1508239690 | Richard Beam Hollar IIi | Specialist/Technologist | 1405 Huntley Apartment Dr, Pelham, AL 35124-6012 | 2015-11-11 |
| 1790084440 | Marianne Wilmarth | Specialist/Technologist | 872 Pelham Pkwy, Pelham, NY 10803-2710 | 2011-03-21 |
| 1053571471 | Kyohei Miyazaki | Specialist/Technologist | 2244a Pelham Pkwy, Pelham, AL 35124-1315 | 2008-06-10 |
| 1477733525 | Joseph Carmen Cacciatore | Specialist/Technologist | 85 Marsh Rd, Pelham, NH 03076-3134 | 2007-11-06 |
| 1407073604 | Angela Kay Gaines | Specialist/Technologist | 4062 Saddle Run Cir, Pelham, AL 35124-2624 | 2007-04-19 |
| 1487159323 | Hana Raine Gross | Specialist/Technologist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2018-03-23 |
| Find all providers in PELHAM | ||||
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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.