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Active NPI 1114388303 Individual Practitioner Male Practitioner

Timothy Ellis , ATC

Specialist/Technologist - Athletic Trainer • Wayne, NE

Professional Overview & Biography Verified Profile Summary

Timothy Ellis, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Wayne, NE. Practice services are available at 1200 PROVIDENCE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Providence Rd

Wayne, NE 687871212

Telephone 4023757937
Fax 4023757956
Associated Practice Facility / Clinic
🏢 Providence Medical Center Facility NPI 1255470092

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Wayne, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Wayne, NE (460 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License NE 54

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Amy Bowers , MPT

Physical Therapist

NPI 1083977474

Master of Physical Therapy

Jean Harrold-Loberg , PT

Physical Therapist

NPI 1093073694

Physical Therapist

NPI 1114285798

Physical Therapist, Doctor of Physical Therapy

Aaron Lemon

Physical Therapist

NPI 1144929225
Michelle Theis , OT

Occupational Therapist

NPI 1205195831

Occupational Therapist

Kristine Hain , OTR, L, MOT

Occupational Therapist

NPI 1356065577

Occupational Therapist Registered, L, Master of Occupational Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2016

Registered at 1200 PROVIDENCE RD, WAYNE, NE 687871212 (Tel: 4023757937)

📍
Updated Business Mailing Address March 15, 2016

Registered at 1200 PROVIDENCE RD, WAYNE, NE 687871212 (Tel: 4023757937)

👤
Provider Name / Credentials Updated March 15, 2016

Recorded as TIMOTHY ELLIS, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2016

Specialist/Technologist (License #54 in NE)

🟢
Initial NPI Registration & Enumeration March 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114388303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2016
Last Update: March 15, 2016
Sole Proprietor: Yes

Mailing Address

1200 Providence Rd

Wayne, NE 687871212

Phone: 4023757937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.