IndividualActive
Ann Ellis, LAT, ATC
NPI 1184152027 · Athletic Trainer · Tahlequah, OK
Provider details
- NPI number
- 1184152027
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
600 N Grand Ave
Tahlequah, OK 74464-2301
Phone: (918) 456-5511
Street-level locationGet directions
Mailing address
132 Glen Ives Way
Madison, AL 35758-4606
Registry dates
- Enumerated
- 2017-05-23
- Last updated
- 2017-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.