ELIZABETH GILLIS (NPI# 1609052646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609052646 |
| Entity Type | Individual |
| Full Name | ELIZABETH GILLIS |
| Practice Address |
3250 W Big Beaver Rd Suite 228 Troy MI 48084-2900 |
| Practice Telephone | 2487923633 |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001087 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3250 W BIG BEAVER RD SUITE 228 |
| City | TROY |
| State | MI |
| Zip Code | 48084-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215428883 | Trevor Patrick Hayes | Massage Therapist | 3250 W Big Beaver Rd, Troy, MI 48084-2900 | 2018-05-19 |
| 1952815136 | Claudette Hairston | Massage Therapist | 3250 W Big Beaver Rd, Troy, MI 48084-2900 | 2017-11-27 |
| 1093227415 | Deanna Marie Rogers | Massage Therapist | 3250 W Big Beaver Rd, Troy, MI 48084-2900 | 2017-10-25 |
| 1003355264 | Mayank Shah | Physical Therapist | 3250 W Big Beaver Rd, Suite 304, Troy, MI 48084-2900 | 2017-02-20 |
| 1013212315 | Meahealth Plc | Internal Medicine | 3250 W Big Beaver Rd, Suite 144, Troy, MI 48084-2900 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1427660158 | Faith Anneliese Monroe | Specialist/Technologist | 229 Dozier Dr Apt 415, Troy, AL 36081-3040 | 2020-08-24 |
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1609493089 | James David Bush | Specialist/Technologist | 1147 Highway 231 S Ste 9&10, Troy, AL 36081-3026 | 2020-07-01 |
| 1952948374 | Matthew John Pawlik | Specialist/Technologist | 1649 Fleetwood Dr, Troy, MI 48098-2512 | 2019-12-04 |
| 1760039507 | Taylor Johnston | Specialist/Technologist | 204 Elmira St, Troy, PA 16947-1204 | 2019-08-26 |
| 1295292415 | Jordan Kay Lyles | Specialist/Technologist | 205 N Waco Rd, Troy, TX 76579-3724 | 2019-02-24 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1396200119 | Logan Bryan Cook | Specialist/Technologist | 103 Richmond Ave, Troy, AL 36081-4063 | 2019-02-06 |
| 1962967828 | Kimberly Shaw | Specialist/Technologist | 3202 Veterans Stadium Dr, Troy, AL 36082-0001 | 2019-02-05 |
| Find all providers in TROY | ||||
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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.