Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelene Elliott

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700299252

Angelene Elliott is a Sports Medicine in Boston, Massachusetts. Qualified in 2014, 12 years ago. Practices with Massachusetts Institute of Technology, a 56-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
12
Licensed in
ME
In the registry since
2014
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Practice location Address checks out

915 Commonwealth Ave Rear
Boston, MA 02115
Phone: (617) 358-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence TP14063 (ME)

Record details

NPI number1700299252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Massachusetts Institute Of Technology — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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