MR. ERIC EKELUND (NPI# 1770784266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770784266 |
| Entity Type | Individual |
| Full Name | MR. ERIC EKELUND |
| Credential | MS, LATC, CSCS |
| Practice Address |
10 Centennial Dr Peabody MA 01960-7900 |
| Mailing Address |
54 Chapman Pl Leominster MA 01453-6148 |
| Practice Telephone | 9789777877 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1682 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10 CENTENNIAL DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969389 | Anne L Hanley | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7900 | 2006-02-07 |
| 1700492907 | Ashley Wedge | Physical Therapist | 10 Centennial Dr, Peabody, MA 01960-7938 | 2020-09-22 |
| 1285146258 | Pediatric Health Care Associates PC | Pediatrics | 10 Centennial Dr, Peabody, MA 01960-7938 | 2017-10-31 |
| 1912452665 | Danielle Driscoll | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-08-23 |
| 1679921001 | Jesus M Pena | Student in an Organized Health Care Education/Training Program | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-05-26 |
| 1225483795 | Anna Martel | Counselor | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-05-03 |
| 1235592213 | Kara Conway Raponi | Social Worker | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-03-29 |
| 1669846457 | Molly Hogan-fowler | Social Worker | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-11-17 |
| 1932577152 | Rita Mazina Turi | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-03 |
| 1710354121 | Melissa Elisabeth Gagne | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
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| 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 |
|---|---|---|---|---|
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1972161222 | Cassandra Susi | Specialist/Technologist | 99 Margin St, Peabody, MA 01960-1846 | 2019-06-02 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1477904514 | Ryan Morley | Specialist/Technologist | 12 Albert Rd, Peabody, MA 01960-2502 | 2016-06-30 |
| 1598196875 | Jonathan Williams | Specialist/Technologist | 19 Loris Rd, Peabody, MA 01960-1618 | 2013-12-11 |
| 1609428143 | Sarah Nicholle Wardlaw | Specialist/Technologist | 485 Lowell St, Peabody, MA 01960-1329 | 2019-07-15 |
| 1407883432 | Scott Maclean | Specialist/Technologist | 4 Centennial Dr, Peabody, MA 01960-7935 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| 1417569039 | Taylor Marie Downey | Specialist/Technologist | 14 Ivy St, Marshfield, MA 02050-2922 | 2020-08-17 |
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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.