Keith Romalis Ellison
Specialist/Technologist (Athletic Trainer)

Address: One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045
Phone: 4247894071

Keith Romalis Ellison (NPI# 1568823318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568823318
Entity Type Individual
Full Name Keith Romalis Ellison
Credential MA, ATC, CES
Gender Male
Practice Address One Lmu Drive
Gersten Pavilion - Athletic Training Room
Los Angeles
CA 90045
Practice Telephone 4247894071
Practice Fax Number 3103384401
Mailing Address One Lmu Drive
Gersten Pavilion - Athletic Training Room
Los Angeles
CA 90045
Mailing Telephone 4247894071
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-03-08
Last Update Date 2016-03-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2255A2300X Specialist/Technologist · Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1720247414 Keith Taylor Ellison Orthopaedic Surgery 50 Hillcrest Medical Blvd Ste 303, Waco, TX 76712-8955 2008-06-06

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association ( [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629612403 Rosalinda Sanchez Specialist/Technologist 2795 W 8th St Apt 108, Los Angeles, CA 90005-1200 2019-11-04
1497223184 Rafael Antonio Alvarado Specialist/Technologist 1246 Sanborn Ave, Los Angeles, CA 90029-2240 2018-11-11
1598254096 Oscar F Avila Specialist/Technologist 345 S Alexandria Ave Apt 216, Los Angeles, CA 90020-2670 2018-05-09
1659869097 Alec Carmona Specialist/Technologist 4618 Townsend Ave, Los Angeles, CA 90041-2861 2018-04-30
1568964369 Tracy Elizabeth Ayers Specialist/Technologist 11435 Venice Blvd, Los Angeles, CA 90066-4028 2018-03-07
1346742947 Oscar Rinon Jr. Specialist/Technologist 2131 John Wooden Center, Los Angeles, CA 90095 2018-02-28
1477053957 Michael Steven Rivera Specialist/Technologist 2642 James M Wood Blvd, Los Angeles, CA 90006-1706 2018-02-20
1801303110 Alexander Calderon Specialist/Technologist 700 North Faring Road, Los Angeles, CA 90077-3525 2018-01-08
1265958847 Matthew Lee Specialist/Technologist 950 Blaine St, Los Angeles, CA 90015-1220 2017-08-16
1023530037 Smadar Bezalel Specialist/Technologist 15800 Zeldins Way, Los Angeles, CA 90049-6861 2017-07-11
Find all providers in LOS ANGELES

Office Location

Street Address ONE LMU DRIVE
State CA
Zip Code 90045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396388849 Laska Dental Inc Dentist 5602 W Manchester Ave, Los Angeles, CA 90045 2019-10-28
1245889179 Ana Arias Physical Therapist 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 2019-09-04
1144719410 Family Dental Care 4 You Dentist 5602 W. Manchester Ave, Los Angeles, CA 90045 2018-05-02
1821504002 Rhonda Taylor Counselor 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 2017-12-24
1114436839 Blanca Melisa Gomez I Case Manager/Care Coordinator 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 2017-09-26
1639688831 Kalila Magbanua-stein Counselor 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 2017-09-20
1568984185 Angela Mull Marriage & Family Therapist 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 2017-07-14
1386171585 Patricia Ann Bridewell Registered Nurse 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 2017-05-18
1679937627 Thelese Consulting Group Social Worker 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 2016-04-06
1164887048 University Foot & Ankle Institute Podiactric Surgical Center Podiatrist 5230 Pacific Concourse Drive, Suite 100, Los Angeles, CA 90045 2015-12-21
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Zip Code 90045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.