Active NPI
Anthony Leo, ATC/L
- Athletic Trainer
- Minneapolis, MN
National Provider Identifier
1043608789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2642
- Practice address
- 1 Twins Way
Minneapolis, MN 55403-1418 - Phone
- (612) 659-3692
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 2642 | MN | Primary |
Addresses
Primary practice location
1 Twins Way
Minneapolis, MN 55403-1418
Mailing address
411 Fairfield CT
Schaumburg, IL 60193-2913
Phone (847) 524-4121
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 |
|---|---|---|---|
| 2642 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1043608789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 FAIRFIELD CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932913",
"telephone_number": "847-524-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TWINS WAY",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554031418",
"telephone_number": "612-659-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "ANTHONY",
"credential": "ATC/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "2642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.