IndividualActive
Marissa Elam, ATC, LAT
NPI 1487119970 · Athletic Trainer · Indianapolis, IN
Provider details
- NPI number
- 1487119970
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 36004117A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 948-2550
Approximate (ZIP-level) locationGet directions
Mailing address
7116 Foxborough Dr Apt 3d
Lawrence, IN 46226-1212
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.