Anne Christine Mackin Emanuel, PT, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

10857 Issued in MN

Practice address

3915 Golden Valley Rd
Golden Valley, MN 55422-4249

Phone

(612) 775-7935

NPI assigned

Mar 21, 2020

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

Other names 1

• Dr. Anne Christine Mackin Former name

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1770119703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 138TH ST W",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781728",
            "telephone_number": "920-664-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "612-775-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "ANNE",
        "middle_name": "CHRISTINE MACKIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MN",
            "license": "10857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "MACKIN",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Reuven Ekstein, PA-C
• Emily Ellingson, O.D.
• Amanda Elliott, DPT
• Stacy Lynn Ellman, LPC
• Ifrah Elmi
• Emergency Physicians Professional Association (The Urgency Room - Golden Valley)
• Mary Ellen Emmeck, MA, LMFT
• Empowered Behavioral and Clinical Services LLC
• Endovascular Physicians of Minnesota PLLC (North Star Vascular and Interventional)
• John England

• Neurology Physical Therapist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Neurology Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.