Active NPIIndividual provider

Miss Ellen A Malloy, ATC

Specialist/Technologist, Athletic Trainer in Braintree, Massachusetts

NPI Number1033170048
Practice location
745 Washington St, Thayer Academy, Braintree, MA 02184-5751
Fax
—
Last updated
July 13, 2026

Ellen Ann Malloy is a Specialist/Technologist, Athletic Trainer based in Braintree, MA. Ellen Ann Malloy practices in Braintree, MA and has the professional credentials of ATC. The NPI Number for Ellen Ann Malloy is 1033170048 and holds a License No. AH 95 (MA). The current practice location address for Ellen Ann Malloy is 745 Washington St, Thayer Academy, Braintree, MA 02184-5751 and can be reached out via phone at 781-664-2273.

Provider Profile Details

NPI Number
1033170048
Provider Name
Ellen Ann Malloy
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
745 Washington St, Thayer Academy, Braintree, MA 02184-5751
Phone Number
781-664-2273
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
745 Washington St
Thayer Academy
Braintree, MA 02184-5751
Zip
02184-5751
Phone Number
781-664-2273
Braintree, MA 02184Get directions →

Provider Business Mailing Address Details

Address
86 Jerusalem RD
Cohasset, MA 02025-1412
City
Cohasset
State
MA
Zip
02025-1412
Phone Number
781-383-0686

License Information

License Number
AH 95
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Ellen A Malloy, ATC?

The NPI number of Miss Ellen A Malloy, ATC is 1033170048. It was assigned on March 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Ellen A Malloy, ATC?

Miss Ellen A Malloy, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number AH 95.

Where does Miss Ellen A Malloy, ATC practice?

The practice location is 745 Washington St, Thayer Academy, Braintree, MA 02184-5751. The office can be reached at 781-664-2273 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033170048 directly on the NPPES registry website.

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