ELLEN K. PAYNE


Address: 302 Portola Rd, Portola Valley, CA 94028-7851
Phone: 6508516128

ELLEN K. PAYNE (NPI# 1003833989) 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) 1003833989
Entity Type Individual
Full Name ELLEN K. PAYNE
Credential MA, ATC, CSCS
Practice Address 302 Portola Rd
Portola Valley
CA 94028-7851
Mailing Address Po Box 247
Cupertino
CA 95015-0247
Practice Telephone 6508516128
Mailing Telephone 4083487448
Enumeration Date 2006-07-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 302 PORTOLA RD
City PORTOLA VALLEY
State CA
Zip Code 94028-7851

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922512979 Rochelle Marie Perucca Counselor 501 Portola Rd. #8046, Portola Valley, CA 94028 2017-11-29
1285854299 Thomas James Fogarty Thoracic Surgery (Cardiothoracic Vascular Surgery) 3270 Alpine Road, Portola Valley, CA 94028 2007-05-01
1790806131 Ning Tang Internal Medicine 3250 Alpine Road, Stanford Primary Care, Portola Valley, CA 94028 2007-04-03
1174652622 Catherine Sonquist Forest Family Medicine 3240 Alpine Rd, Stanford Community Primary Care, Portola Valley, CA 94028 2007-03-02
1083767701 Matthew S Plume Physical Therapist 150 Portola Road, Suite B, San Francisco, CA 94028 2007-01-18
1417045279 Ellen Marie Hoffman Chiropractor 884 Portola Road, A5, Portola Valley, CA 94028 2006-10-10
1376986810 Alice Chung Family Medicine 3250 Alpine Road, Portola Valley, CA 94028 2013-04-15
1144364233 Lucy Stuart Tompkins Internal Medicine 300 Pasteur Drive, Stanford University Medical Center S169, Stanford, CA 94028 2007-02-20
1285786202 Susan Eileen Light Psychologist 1187 University Dr, Menlo Park, CA 94028 2007-01-18
1184991275 Diane J Schiano Counselor 2673 Alpine Rd, Portola Valley, CA 94028-6365 2011-11-17
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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
1275998098 Joseph Smith Specialist/Technologist 107 Ramona Rd, Portola Valley, CA 94028-8135 2015-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003417981 David Yudis Specialist/Technologist 82 Victoria Ste 201, Newport Beach, CA 92660-9009 2020-11-05
1790385466 Tamia Shoshone Specialist/Technologist 2823 Diaz Lane, Bishop, CA 93514 2020-10-30
1639779630 Taylor Anderson Specialist/Technologist 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 2020-10-28
1548869571 Joshua Watersjackson Specialist/Technologist 430406 Las Pulgas, Camp Pendleton, CA 92055 2020-10-21
1063011278 Hilary Ann King Specialist/Technologist 824 W Maple Ave, Tulare, CA 93274-2609 2020-10-19
1568069854 Tess Buchanan Specialist/Technologist 4480 Leatherwood Ct, Concord, CA 94521-4416 2020-10-08
1407453343 Peter Wang Specialist/Technologist 3034 Belmont Dr, Lodi, CA 95242-9732 2020-10-05
1164029138 Marisa Angelina Terrazas Specialist/Technologist 1416 Rampart Dr, Roseville, CA 95661-4749 2020-10-02
1427665645 Alvaro Juarez Jr. Specialist/Technologist 31550 Palomar Rd, Menifee, CA 92584-9258 2020-09-30
1407462237 Lorenzo Aguirre Specialist/Technologist 1836 Lapham Dr, Modesto, CA 95354-3900 2020-09-17
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Competitor

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City PORTOLA VALLEY
Zip Code 94028

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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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