Emily Boggs, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001420 Issued in WV

Practice address

120 Buckhannon Crossroads
#112
Buckhannon, WV 26201-8476

Phone

(304) 472-8510

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Country Roads Physical Therapy and Rehabilitation

  • Physical Therapist
  • Fairmont, WV
  • NPI 1831147297
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1699217521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BUCKHANNON CROSSROADS",
            "address_2": "#112",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BUCKHANNON CROSSROADS",
            "address_2": "#112",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018476",
            "telephone_number": "304-472-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "EMILY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lynn Blackburn, PA
• Amber R. Blackledge, PA-C
• Mary Blake
• Sandra Blake
• Karen Sue Bland
• Elizabeth Suzanne Bohman, MA, LPC, NCC
• Jessica Bohman
• Toni Michelle Bolar, MS, LAT, ATC, CES
• Marie Frances Bond
• Cathy L Bonner

• Athletic Trainer in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.