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Deactivated NPI 1295834760 Deactivated / Inactive NPI Male Practitioner

Edward J Elder , MS, ATC

Specialist/Technologist - Athletic Trainer • Shoreline, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Elder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2006
NPI Deactivation Date February 19, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Edward Elder, MS, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Shoreline, WA. Throughout an active medical career spanning 20 years, Edward Elder provided care at the practice location at 18021 15TH AVE. NE until profile deactivation on 2026-02-19.

Practice Location & Contact Primary Location

Practice Address

18021 15th Ave. Ne
Suite 201

Shoreline, WA 981553809

Telephone 2063625255
Fax 2063625260
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Shoreline, WA

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

Practicing in Shoreline, WA (828 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

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

3 Associated Practitioners
Carol Kukolja , PT

Physical Therapist

NPI 1366541815

Physical Therapist

Victoria Wentz , ATC

Specialist/Technologist - Athletic Trainer

NPI 1528160843

Certified Athletic Trainer

Lonnie Sellers , PT

Physical Therapist

NPI 1780783233

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 19, 2026

Record deactivated on February 19, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 18021 15TH AVE. NE, SUITE 201, SHORELINE, WA 981553809 (Tel: 2063625255)

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Updated Business Mailing Address July 08, 2007

Registered at 18021 15TH AVE. NE, SUITE 201, SHORELINE, WA 981553809 (Tel: 2063625255)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD ELDER, MS, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist

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Initial NPI Registration & Enumeration September 21, 2006

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: 1295834760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Deactivation Date: February 19, 2026

Mailing Address

18021 15th Ave. Ne, Suite 201

Shoreline, WA 981553809

Phone: 2063625255

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.