Emily Boyd, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P161191849 Issued in WA

Practice address

1390 S Potomac St Ste 136
Aurora, CO 80012-4529

Phone

(425) 273-3233

NPI assigned

Nov 7, 2017

Reactivated

Feb 27, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mill Creek Wellness Center, PS

  dba Mill Creek Wellness Center

  • Chiropractor
  • Mill Creek, WA
  • NPI 1336267194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114430535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 136",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-214-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 136",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "425-273-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "EMILY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "deactivation_date": "2023-02-07",
        "reactivation_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60746180",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P161191849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PTA LICENSE",
            "identifier": "P161191849",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara L Bowsher, MD
• Trista Bowyer, MD
• Devyn Box, LCSW
• Judith Ann Box, NNP
• Dana J. Boyd, MS, CCC-SLP
• Godfrey Andrew Boyd Sr., FNP-C
• Jacob Tyler Boyd, MD, PHD
• Kathryn Dawn Boyd, M.D.
• Mariah Boyd, DMD
• Taressa Marie Boyd

• Physical Therapy Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.