Emily Gerrald, ATC

Primary specialty

Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X

License

AT.0001433 Issued in CO

Practice address

2701 W 136TH Ave
Broomfield, CO 80023-9443

Phone

(404) 862-9831

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1639705734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 E 6TH AVENUE PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802206055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 136TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239443",
            "telephone_number": "404-862-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRALD",
        "first_name": "EMILY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CO",
            "license": "AT.0001433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Gentry, LMT, MMP
• George D. Pollard, DDS, P.C.
• Sara Alexander George, M.D.
• Kaily E Georgen-Schwartz
• Ashley Gerk
• Leroy W Gerry, DDS
• Amanda Gervers
• Shelby Ghazaleh
• Sarah Ann Ghekiere, ND, LAC
• Matthew Christopher Gibble, RMT

• Pediatric Sports Medicine Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Pediatric Sports Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.