TIMOTHY ELLIS (ATC) – Athletic Trainer, NPI 1114388303

TIMOTHY ELLIS (ATC) is a healthcare provider. based in Wayne, Nebraska. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 54 (NE). The NPI Number for TIMOTHY ELLIS (ATC) is 1114388303

Main info

Male
Sole Proprietor
Name
TIMOTHY ELLIS (ATC)
NPI
1114388303
Phone
(402) 375-7937
Address
1200 PROVIDENCE RD
Enumeration Date
15 March 2016
Last Update Date
15 March 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for TIMOTHY ELLIS (ATC)

  • 1200, Providence Road, Wayne, Wayne County, Nebraska, 68787, United States

    WAYNE, NE 687871212

    Phone: (402) 375-7937

    Fax: (402) 375-7956

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68787)

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Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY ELLIS (ATC) in U.S. healthcare records?
The official identifier for TIMOTHY ELLIS (ATC) is NPI 1114388303.
Active or inactive — what applies to TIMOTHY ELLIS (ATC)?
You should see TIMOTHY ELLIS (ATC) as active in CMS-hosted NPPES data.
How would a patient describe TIMOTHY ELLIS (ATC)'s focus?
For TIMOTHY ELLIS (ATC), the primary taxonomy reads as Athletic Trainer. Clinical services aligned with this taxonomy classification.
What locale is associated with TIMOTHY ELLIS (ATC)?
Directory geography for TIMOTHY ELLIS (ATC) centers on Wayne, Nebraska.
Does TIMOTHY ELLIS (ATC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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