Active NPI
Emily S Dorson, LATC
- Athletic Trainer
- Vernon, CT
National Provider Identifier
1053557231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 110202188
- Practice address
- 165 South St Unit 60
Vernon, CT 06066-4418 - Phone
- (603) 557-4163
- Fax
- (214) 416-0186
- NPI assigned
- Dec 18, 2008
- Sex
- Female
- 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 | 110202188 | CT | Primary |
Addresses
Primary practice location
165 South St Unit 60
Vernon, CT 06066-4418
Mailing address
165 South St Unit 60
Vernon, CT 06066-4418
Phone (603) 557-4163
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 |
|---|---|---|---|
| 110202188 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1053557231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SOUTH ST UNIT 60",
"city": "VERNON",
"state": "CT",
"postal_code": "060664418",
"telephone_number": "603-557-4163",
"fax_number": "214-416-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SOUTH ST UNIT 60",
"city": "VERNON",
"state": "CT",
"postal_code": "060664418",
"telephone_number": "603-557-4163",
"fax_number": "214-416-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSON",
"first_name": "EMILY",
"middle_name": "S",
"credential": "LATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "110202188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.