ELI PECKHAM ATC NPI 1063911758

NPI Information

  • NPI: 1063911758
  • Provider Name: ELI PECKHAM, ATC
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 930 SW HALL ST
    PORTLAND, OR
    ZIP 97201
  • Phone: (206) 295-7320

Map and Directions

Get Directions

NPI Details

Eli Peckham, ATC is an athletic trainer specialist technologist in Portland, OR. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Eli Peckham, ATC NPI is 1063911758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

930 SW HALL ST
PORTLAND, OR
ZIP 97201
Phone: (206) 295-7320

The enumeration date for this NPI number is 2/8/2018 and was last updated on 6/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22255A2300XSpecialist/TechnologistAthletic TrainerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI