RAYMOND S ELLIS (NPI# 1851814024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851814024 |
| Entity Type | Individual |
| Full Name | RAYMOND S ELLIS |
| Credential | ATC |
| Practice Address |
74 Commerce Dr. #3 Riverhead NY 11947 |
| Mailing Address |
Po Box 336 Jamesport NY 11947-0336 |
| Practice Telephone | 6313699110 |
| Mailing Telephone | 6318301460 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| Street Address |
74 COMMERCE DR. #3 |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265909691 | Barths of Jamesport Inc | Pharmacy | 1491 Main Rd, Jamesport, NY 11947 | 2018-10-24 |
| 1659744936 | Barths of Jamesport Inc | Pharmacy | 1491 Main Road, Jamesport, NY 11947 | 2015-11-09 |
| 1760767685 | Harold Thomas Gioscia | Dentist | 1518 Main Rd, Jamesport, NY 11947 | 2011-10-12 |
| 1003028838 | Joseph F Sciotto | Dentist | 1158 Main Rd, Jamesport, NY 11947 | 2007-05-04 |
| 1801951413 | Aid To The Developmentally Disabled, Inc | Intermediate Care Facility, Mentally Retarded | 410 S Jamesport Ave, Jamesport, NY 11947 | 2006-12-26 |
| 1760438469 | Peter Badmajew | Family Medicine | 1882 Main Rd, Jamesport, NY 11947 | 2006-05-25 |
| 1811306780 | Anthony P. Orlando | Obstetrics & Gynecology | 78 Morningside Ave, Jamesport, NY 11947-0698 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030357 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 607 Old Country Rd, Riverhead, NY 11901-2103 | 2020-10-12 |
| 1568085439 | Speech Therapy for All PC | Speech-Language Pathologist | 30 W Main St Ste 301, Riverhead, NY 11901-2806 | 2020-05-26 |
| 1972132199 | Edna J White | Counselor | 11 W Main St Apt 311, Riverhead, NY 11901-2800 | 2020-04-08 |
| 1881221695 | Svc of Riverhead LLC | Optometrist | 887 Old Country Rd Ste Gkl, Riverhead, NY 11901-2115 | 2020-03-24 |
| 1316571573 | Riverhead Chiropractic and Physical Therapy Pllc | Physical Therapist | 1081 Old Country Rd, Riverhead, NY 11901-2019 | 2020-02-26 |
| 1831723329 | Joanna Kurzyna | Specialist/Technologist | 64 Woodhull Ave, Riverhead, NY 11901-3509 | 2020-02-24 |
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1558909242 | Alicia Fusco | Behavior Technician | 20 Riverleigh Ave, Riverhead, NY 11901-3669 | 2019-12-13 |
| 1033755418 | Matthew Mahoney | Physical Therapist | 31 Main Rd Ste 4, Riverhead, NY 11901-1953 | 2019-11-21 |
| 1982256194 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Durable Medical Equipment & Medical Supplies | 74 Commerce Ave Ste 4, Riverhead, NY 11901-3105 | 2019-07-09 |
| Find all providers in RIVERHEAD | ||||
| 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 |
|---|---|---|---|---|
| 1831723329 | Joanna Kurzyna | Specialist/Technologist | 64 Woodhull Ave, Riverhead, NY 11901-3509 | 2020-02-24 |
| 1255617650 | Jason Lee | Specialist/Technologist | 33 Howell Ln, Riverhead, NY 11901-2436 | 2011-10-30 |
| 1770057267 | Eric Gerald Elie | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-17 |
| 1326512054 | Eleanor Marin-hurley | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-16 |
| 1619440773 | Jillian Marie Ragonese | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-10 |
| 1720551161 | Chelsea Villalba | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.