Active NPI
Emily Warren, DPT
- Physical Therapist
- Antigo, WI
National Provider Identifier
1952771503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13004-24
- Practice address
- 112 E 5TH Ave
Antigo, WI 54409-2710 - Phone
- (715) 623-9449
- NPI assigned
- Sep 25, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13004-24 | WI | Primary |
Addresses
Primary practice location
112 E 5TH Ave
Antigo, WI 54409-2710
Mailing address
112 E 5TH Ave
Antigo, WI 54409-2710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13004-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1952771503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092710",
"telephone_number": "715-623-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2021-11-23",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13004-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.