Nancy Noelle Grieger, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40167 Issued in CA

Practice address

20701 Cereal St
Skydive Elsinore, Team Room 8
Lake Elsinore, CA 92530-9253

Phone

(702) 904-0178

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Skies Physical Therapy

  • Sports Physical Therapist
  • Lake Elsinore, CA
  • NPI 1750975140

  Emergency Medical Technician, Basic

  NPD Authorized official
• Balance Centers of America

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1881614154
  NPD (past)
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Las Vegas, NV
  • NPI 1881766228

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1003956798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 CEREAL ST",
            "address_2": "SKYDIVE ELSINORE, TEAM ROOM 8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "92530",
            "telephone_number": "702-904-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20701 CEREAL ST",
            "address_2": "SKYDIVE ELSINORE, TEAM ROOM 8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925309253",
            "telephone_number": "702-904-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGER",
        "first_name": "NANCY",
        "middle_name": "NOELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NV",
            "license": "1656",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E156417",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40167",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT40167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Deneen Gray, PHD, DBH, CDVC, CVIS
• Dale Allen Green Jr.
• Miriam Green
• Melissa J Greenberg
• Marie-Christine Greene, MFT -I
• Jonathan Paul Grimm
• Rikki Reane Grisso, LVN
• Paula Guadron, B.S. (PSYCHOLOGY)
• Tonia Guerin
• Mirene Guevarra

• Physical Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.