TIMOTHY ELLIS (NPI# 1114388303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114388303 |
| Entity Type | Individual |
| Full Name | TIMOTHY ELLIS |
| Credential | ATC |
| Practice Address |
1200 Providence Rd Wayne NE 68787-1212 |
| Practice Telephone | 4023757937 |
| Practice Fax Number | 4023757956 |
| Mailing Telephone | 4023757937 |
| Mailing Fax Number | 4023757956 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
54 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767040 | Timothy Mark Ellis | Dentist | 2110 E Flamingo Dr, Bartow, FL 33830-4236 | 2006-09-07 |
| 1124013008 | Timothy Edward Ellis | Physical Therapist | 319a Julian Ave, Healthcare Consultants Inc, Thomasville, NC 27360-4832 | 2005-09-15 |
| 1669801866 | Timothy Allan Ellis | Physician Assistant | 300 W Central Texas Expy Ste 115, Harker Heights, TX 76548-1888 | 2013-11-07 |
| 1801143813 | Timothy Ray Ellis | Dentist | 11836 Elm St, Suite 1, Omaha, NE 68144-4438 | 2012-08-08 |
| 1790040863 | Timothy Michael Ellis | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2012-07-05 |
| 1285644856 | Timothy J. Ellis | Optometrist | 500 W Fort St, Boise, ID 83702-4501 | 2006-08-08 |
| Street Address |
1200 PROVIDENCE RD |
| City | WAYNE |
| State | NE |
| Zip Code | 68787-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700832839 | Todd Luedeke | Nurse Anesthetist, Certified Registered | 1200 Providence Rd, Wayne, NE 68787-1212 | 2006-05-26 |
| 1700404811 | Catherine Andela-ruth | Nurse Practitioner | 1200 Providence Rd, Wayne, NE 68787-1212 | 2020-07-06 |
| 1962032292 | Bonnie Lane Vrbicky | Physician Assistant | 1200 Providence Rd, Wayne, NE 68787-1212 | 2020-01-26 |
| 1497308662 | Midtown Health Center, Inc. | Clinic/Center | 1200 Providence Rd, Wayne, NE 68787-1212 | 2019-07-17 |
| 1326504267 | Kathy I Mohlfeld | Counselor | 1200 Providence Rd, Wayne, NE 68787-1299 | 2019-02-15 |
| 1588022503 | John Miller | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2016-02-04 |
| 1598134751 | Morgan Ebberson | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2015-09-17 |
| 1477922631 | Britni Nordhues | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2015-09-17 |
| 1083977474 | Amy Joan Bowers | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-06-20 |
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209623 | Pearl Street Counseling, LLC | Counselor | 421 N Pearl Street, Wayne, NE 68787 | 2019-01-31 |
| 1760883367 | Northeast Nebraska Public Health Department | Public Health or Welfare | 215 Pearl Street, Wayne, NE 68787 | 2014-09-15 |
| 1942419353 | Muffin Elaine Morris | Specialist/Technologist | 11 11 Main Street, Wayne State College, Wayne, NE 68787 | 2007-05-22 |
| 1801952601 | Craig W Braun | Dentist | 206 E 7th St, Wayne, NE 68787 | 2006-12-28 |
| 1124120464 | Robert Kevin Krugman | Chiropractor | 214 Pearl Street, Wayne, NE 68787 | 2006-09-05 |
| 1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
| 1730599762 | Angela Mclaughlin | Family Medicine | 615 E 14th St, Wayne, NE 68787 | 2014-04-29 |
| 1649568775 | Grace Counseling Services | Community/Behavioral Health | 111 Main Street, Wayne, NE 68787 | 2011-07-11 |
| 1780975144 | Magnuson Hopkins Eyecare PC | Optometrist | 1112 W 7th St, Wayne, NE 68787 | 2011-04-20 |
| 1497925556 | Peterson Therapy Services LLC | Physical Therapist | 208 N. Main St., Wayne, NE 68787 | 2008-03-05 |
| Find all providers in zip 68787 | ||||
| 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 |
|---|---|---|---|---|
| 1205476694 | Jessica Lynn Collum | Specialist/Technologist | 57 Claremont Ter, Wayne, NJ 07470-5125 | 2020-01-14 |
| 1578114963 | Kari Lynn Romano | Specialist/Technologist | 1001 Eagle Rd, Wayne, PA 19087-3695 | 2019-09-26 |
| 1265990592 | Erica Schulman | Specialist/Technologist | 1 Cobble Stone Ct, Wayne, NJ 07470-4158 | 2019-03-05 |
| 1548766967 | Lauren Elaina Cianci | Specialist/Technologist | 47 Sunset Ter, Wayne, NJ 07470-4216 | 2018-04-04 |
| 1326555228 | Susan Christine Webb | Specialist/Technologist | 3919 Gloria St, Wayne, MI 48184-1956 | 2018-01-02 |
| 1073025284 | Salam Shaker | Specialist/Technologist | 824 Alps Rd, Wayne, NJ 07470-3905 | 2017-10-27 |
| 1861919896 | Noah Benjamin Karson | Specialist/Technologist | 38770 Crecent Ct, Wayne, MI 48184-1080 | 2017-08-30 |
| 1023546132 | Shawnah Kaye Kee | Specialist/Technologist | 314 E 4th St Apt 1, Wayne, NE 68787-2048 | 2017-06-02 |
| 1194176701 | Nancy Keil | Specialist/Technologist | 21 Packanack Lake Rd, Wayne, NJ 07470-5809 | 2016-06-24 |
| 1033351143 | Marc Camporeale | Specialist/Technologist | 551 Valley Rd, Wayne, NJ 07470-3525 | 2009-04-03 |
| Find all providers in WAYNE | ||||
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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.