Provider Demographics
NPI:1932874096
Name:EMERGILITY, LLC
Entity Type:Organization
Organization Name:EMERGILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PROTECTIVE PARAMEDIC
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:MPS, MPH, NRP
Authorized Official - Phone:571-218-9265
Mailing Address - Street 1:4503 PENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1463
Mailing Address - Country:US
Mailing Address - Phone:571-218-9265
Mailing Address - Fax:
Practice Address - Street 1:4503 PENWOOD DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-1463
Practice Address - Country:US
Practice Address - Phone:571-218-9265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty