Active NPI
Trevor Robert Elmitt, LAT, ATC
- Athletic Trainer
- Memphis, TN
National Provider Identifier
1083174007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2211
- Practice address
- 1115 E Getwell Loop
Memphis, TN 38152-4210 - Phone
- (901) 678-3536
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- 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 | 2211 | TN | Primary |
Addresses
Primary practice location
1115 E Getwell Loop
Memphis, TN 38152-4210
Mailing address
431 S Highland St Apt 422
Memphis, TN 38111-1645
Phone (515) 314-6569
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 |
|---|---|---|---|
| 2211 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1083174007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 S HIGHLAND ST APT 422",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381111645",
"telephone_number": "515-314-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E GETWELL LOOP",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381524210",
"telephone_number": "901-678-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMITT",
"first_name": "TREVOR",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "2211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.