Logan Ellis
NPI 1568900769 · Athletic Trainer · Boise, ID
Logan Ellis is a Athletic Trainer provider in Boise, ID (NPI 1568900769).
Provider details
- NPI number
- 1568900769
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT-641 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 520 W Spruce St Apt A203Missoula, MT 59802-4041Phone: (503) 880-4532
- 520 W Spruce St Apt A203Missoula, MT 59802-4041Phone: (503) 880-4532
Registry dates
- Enumerated
- 2017-02-08
- Last updated
- 2018-03-17
Frequently asked questions
- What is Logan Ellis's NPI number?
- Logan Ellis's National Provider Identifier (NPI) is 1568900769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Ellis's specialty?
- Logan Ellis is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Logan Ellis located?
- Logan Ellis's practice location on file with NPPES is 703 S Americana Blvd Ste 120, Boise, ID 83702-6754.
- What is Logan Ellis's phone number?
- The practice phone number listed in the NPPES registry for Logan Ellis is (208) 489-5543.
- Is Logan Ellis's NPI active?
- Yes — Logan Ellis's NPI (1568900769) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.