MR. ZACHARY WADE ELLIOTT (NPI# 1811377799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811377799 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY WADE ELLIOTT |
| Credential | ATC |
| Practice Address |
201 Plaza Dr Suite A Sikeston MO 63801-5105 |
| Practice Telephone | 5734722663 |
| Practice Fax Number | 5734722669 |
| Mailing Telephone | 5734722663 |
| Mailing Fax Number | 5734722669 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2014043303 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376101501 | Zachary Elliott | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2019-06-03 |
| 1558805747 | Zachary Elliott | Occupational Therapist | 1655 E Caro Rd, Caro, MI 48723-9319 | 2016-12-07 |
| Street Address |
201 PLAZA DR SUITE A |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083728935 | Sarah H Curry | Family Medicine | 201 Plaza Dr, Suite B, Sikeston, MO 63801-5105 | 2006-08-18 |
| 1841436870 | Rudy Rafael Rodriguez | Orthopaedic Surgery | 201 Plaza Dr, Sikeston, MO 63801-5105 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| 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 |
|---|---|---|---|---|
| 1518224526 | Laura Nicole Dennis | Specialist/Technologist | 1008 N Main St, Sikeston, MO 63801-5044 | 2012-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ZACHARY WADE ELLIOTT.
| 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.