Active NPI
Emily June Antony, ATC, MED
- Athletic Trainer
- Eden Prairie, MN
National Provider Identifier
1710019583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1253
- Practice address
- 775 Prairie Center Dr
250
Eden Prairie, MN 55344-7314 - Phone
- (952) 944-5314
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1253 | MN | Primary |
Addresses
Primary practice location
775 Prairie Center Dr
250
Eden Prairie, MN 55344-7314
Mailing address
3545 Blue Jay Way
200
Eagan, MN 55123-2254
Phone (651) 365-7637
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1253 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710019583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 BLUE JAY WAY",
"address_2": "200",
"city": "EAGAN",
"state": "MN",
"postal_code": "551232254",
"telephone_number": "651-365-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PRAIRIE CENTER DR",
"address_2": "250",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447314",
"telephone_number": "952-944-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONY",
"first_name": "EMILY",
"middle_name": "JUNE",
"name_prefix": "Mrs.",
"credential": "ATC, MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.