Individual provider Active NPI

Emily Boyer

  • Physical Therapist
  • Woodbury, MN
National Provider Identifier
1942985528
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13022 Issued in MN
Practice address
1625 Radio Dr
Woodbury, MN 55125-9407
Phone
(651) 241-3636
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13022 MN Primary

Addresses

Primary practice location

1625 Radio Dr
Woodbury, MN 55125-9407

Mailing address

712 Fox Rd
Lino Lakes, MN 55014-5468
Phone (651) 245-5494

Other practice location 1

712 Fox Rd
Lino Lakes, MN 55014-5468
Phone (651) 245-5494

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

State licenses

LicenseStateTypeSpecialty
13022MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eboyer584924@excellian.direct.allina.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1942985528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FOX RD",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550145468",
            "telephone_number": "651-245-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RADIO DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259407",
            "telephone_number": "651-241-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Fox Rd",
            "address_purpose": "LOCATION",
            "city": "Lino Lakes",
            "state": "MN",
            "postal_code": "550145468",
            "country_code": "US",
            "telephone_number": "651-245-5494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.