Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly S Ellis, ATC, LAT, PTA

Individual provider Athletic Trainer · NPI 1104226109

Kelly S Ellis, ATC, LAT, PTA is an Athletic Trainer in Atlanta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3276 Northside Pkwy NW Unit 4410
Atlanta, GA 30327-2344
Phone: (678) 525-6256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9621 Fontainebleau Blvd, Miami, FL 33172-6814 — (678) 525-6256

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT002701 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1104226109
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT , PTA
Sole proprietorYes
NPI enumeratedAugust 26, 2014
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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