Annie Thoresen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000021900 Issued in MN

Practice address

7841 Wayzata Blvd
Suite 214
Minneapolis, MN 55426-1452

Phone

(952) 542-9333

Fax

(952) 542-0095

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Mobile Health Services, LLC

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1124892948
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1639524853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 WAYZATA BLVD",
            "address_2": "SUITE 214",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261452",
            "telephone_number": "952-542-9333",
            "fax_number": "952-542-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 WAYZATA BLVD",
            "address_2": "SUITE 214",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261452",
            "telephone_number": "952-542-9333",
            "fax_number": "952-542-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESEN",
        "first_name": "ANNIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2000021900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Todd Thone
• Charles John Thooft
• Tony Thoppil, MD
• Marc James Abrigo Thor Uy, DO, MPH
• Emily Thor, CNP
• Elizabeth Anne Thoresen
• Katelyn Thoresen, MA, LMFT
• Andrew Joseph Thoreson, PHARMD
• Jennifer Amy Thoreson, OTR/L
• Dorothy Ann Thorman, LICSW

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.