Active NPI
Ellen Ann Malloy, ATC
- Athletic Trainer
- Braintree, MA
National Provider Identifier
1033170048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AH 95
- Practice address
- 745 Washington St
Thayer Academy
Braintree, MA 02184-5751 - Phone
- (781) 664-2273
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AH 95 | MA | Primary |
Addresses
Primary practice location
745 Washington St
Thayer Academy
Braintree, MA 02184-5751
Mailing address
86 Jerusalem Rd
Cohasset, MA 02025-1412
Phone (781) 383-0686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AH 95 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033170048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 JERUSALEM RD",
"city": "COHASSET",
"state": "MA",
"postal_code": "020251412",
"telephone_number": "781-383-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 WASHINGTON ST",
"address_2": "THAYER ACADEMY",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845751",
"telephone_number": "781-664-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "ELLEN",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "AH 95",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.