Active NPI
Sean Steven Ennis, MS,LAT, ATC
- Athletic Trainer
- Clermont, FL
National Provider Identifier
1740708544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT006128
- Practice address
- 16443 Nelson Park Dr Apt 104
Clermont, FL 34714-5859 - Phone
- (980) 474-7048
- NPI assigned
- Sep 1, 2017
- Last updated
- Nov 6, 2022
- 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 | AT006128 | OH | Primary |
Addresses
Primary practice location
16443 Nelson Park Dr Apt 104
Clermont, FL 34714-5859
Mailing address
2331 Currant St
Fort Mill, SC 29715-9805
Phone (980) 474-7048
Other practice location 1
363 Richland Ave
Athens, OH 45701-3210
Phone (980) 474-7048
Other practice location 2
2331 Currant St
Fort Mill, SC 29715-9805
Phone (980) 474-7048
Other names 1
- Sean Steven Ennis
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006128 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667692800000",
"number": "1740708544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 CURRANT ST",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297159805",
"telephone_number": "980-474-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16443 NELSON PARK DR APT 104",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347145859",
"telephone_number": "980-474-7048"
}
],
"practiceLocations": [
{
"address_1": "363 Richland Ave",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457013210",
"country_code": "US",
"telephone_number": "980-474-7048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2331 Currant St",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297159805",
"country_code": "US",
"telephone_number": "980-474-7048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENNIS",
"first_name": "SEAN",
"middle_name": "STEVEN",
"credential": "MS,LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-01",
"last_updated": "2022-11-06",
"certification_date": "2022-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT006128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEAN",
"last_name": "ENNIS",
"middle_name": "STEVEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clermont, FL
- Lauren Hood Emrick, APRN, DNP, NP-C
- Encompass Health Rehabilitation Hospital of Clermont, LLC (Encompass Health Rehabilitation Hospital of Clermont)
- Endocrine & Metabolic Health Services LLC
- Julia England, PA-C
- Ennhealth (Ennhealth, LLC)
- Nathanael Enns, PH.D, D.M.O. (BCDMO)
- Albert J Enriquez, MD
- Barbara N Entsuah, M.D.
- Epic Behavioral Solutions
- Nika Epperson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.