Kelly Ellis, ATC, LAT, PTA
NPI 1104226109 · Athletic Trainer · Atlanta, GA
Kelly Ellis, ATC, LAT, PTA is a Athletic Trainer provider in Atlanta, GA (NPI 1104226109).
Provider details
- NPI number
- 1104226109
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT, PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT002701 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9621 Fontainebleau Blvd515Miami, FL 33172-6814Phone: (678) 525-6256
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Kelly Ellis's NPI number?
- Kelly Ellis's National Provider Identifier (NPI) is 1104226109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Ellis's specialty?
- Kelly Ellis is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Ellis located?
- Kelly Ellis's practice location on file with NPPES is 3276 Northside Pkwy Nw Unit 4410, Atlanta, GA 30327-2344.
- What is Kelly Ellis's phone number?
- The practice phone number listed in the NPPES registry for Kelly Ellis is (678) 525-6256.
- Is Kelly Ellis's NPI active?
- Yes — Kelly Ellis's NPI (1104226109) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.