JEFF ELLIS


Address: 196 W Sproul Rd, Springfield, PA 19064-2045
Phone: 6103288830

JEFF ELLIS (NPI# 1891182283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891182283
Entity Type Individual
Full Name JEFF ELLIS
Credential ATC
Practice Address 196 W Sproul Rd
Springfield
PA 19064-2045
Practice Telephone 6103288830
Enumeration Date 2015-04-23
Last Update Date 2015-04-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
J30000275 DE Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
RT003160 PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 196 W SPROUL RD
City SPRINGFIELD
State PA
Zip Code 19064-2045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669446159 Domenic Pisano Internal Medicine 196 W Sproul Rd, Suite 106, Springfield, PA 19064-2045 2006-02-14
1629575204 Kennneth Joseph Santello Family Medicine 196 W Sproul Rd, Springfield, PA 19064-2045 2018-04-10
1336645860 Rocky Marsero Physical Medicine & Rehabilitation 196 W Sproul Rd, Springfield, PA 19064-2045 2018-04-03
1528413002 Prospect Health Access Network, Inc. Family Medicine 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2016-05-03
1760772198 Kathleen Destefano Glenn Pediatrics 196 W Sproul Rd, Healthplex Suite 205, Springfield, PA 19064-2045 2011-04-19
1417278789 Kevin Duprey Family Medicine 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2010-06-21
1558689745 Kenneth Kim Wynne Physician Assistant 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2010-05-12
1669682324 Health Access Network Obstetrics & Gynecology 196 W Sproul Rd, Suite 209, Springfield, PA 19064-2045 2007-05-23
1538287644 Health Access Network Family Medicine 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 2007-03-27
1629109616 Kathleen Milliken Nurse Practitioner 196 W Sproul Rd, Springfield, PA 19064-2045 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023513058 Prospect Crozer Home Health and Hospice, LLC Hospice Care, Community Based 200 W. Sroul Road, Springfield, PA 19064 2018-03-30
1912369539 Olga Burt Physical Therapy Assistant 146 Rose Lane, Springfield, PA 19064 2016-03-23
1124407309 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1745 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1477932655 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1755 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1003295288 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1765 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1427483742 Casseys Optical Inc Durable Medical Equipment & Medical Supplies 139 S State Road, Springfield, PA 19064 2013-09-05
1184982225 Ultimate Hearing Solutions II, LLC Audiologist-Hearing Aid Fitter 471 Baltimore Pike, Springfield, PA 19064 2012-04-26
1295091684 Theresa Nolan Registered Nurse 194 West Sprould Road, Suite 105, Springfield, PA 19064 2012-04-10
1649551367 Pa Center for Hearing and Balance, LLC Hearing Aid Equipment 760 W Sproul Road, Suite 103, Springfield, PA 19064 2011-09-08
1376864694 Cynthia Lacapra Family Medicine 965 Baltimore Pike Ste B2, Springfield, PA 19064 2010-06-22
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy 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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051516 Kangjun Lee Specialist/Technologist 901 S. National Ave., Springfield, MO 65897 2020-10-20
1740806413 Megan Herter Specialist/Technologist 1513 Old Ivy Dr, Springfield, IL 62711-8156 2020-06-18
1124649702 Bridget Fenger Specialist/Technologist 521 W Central St, Springfield, MN 56087-1213 2020-05-05
1598302846 Tamanna Kazi Specialist/Technologist 6746 Metropolitan Center Dr Apt 204, Springfield, VA 22150-4582 2019-12-05
1861035172 Kory Matthew Kasper Specialist/Technologist 117 N Pittsburg Lndg, Springfield, IL 62711-8208 2019-10-21
1760037691 Lauren Potter Specialist/Technologist 607 Highland Rd, Springfield, VT 05156-8844 2019-08-07
1033763271 Ariana Nicole Hetland-purna Specialist/Technologist 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 2019-07-25
1962968867 Chad Michael Linck Specialist/Technologist 2125 N Glenstone Ave, Springfield, MO 65802 2019-02-15
1669938080 Corey Michael Ratsch Specialist/Technologist 1116 E Cherry St Rm 300, Springfield, MO 65807-1517 2019-02-11
1164987640 Emilee Pierce Specialist/Technologist 2015 W University St Apt E212, Springfield, MO 65807-7890 2019-02-08
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Competitor

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City SPRINGFIELD
Zip Code 19064

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Dataset Information

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.

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