Active NPI
Amy McGraw
- Physical Therapist
- West Bend, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4540
- Practice address
- 1700 W Paradise Dr
West Bend, WI 53095-9795 - Phone
- (262) 334-3451
- NPI assigned
- Oct 20, 2006
- 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 | 4540 | WI | Primary |
Addresses
Primary practice location
1700 W Paradise Dr
West Bend, WI 53095-9795
Mailing address
1190 E Paradise Dr
West Bend, WI 53095-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25000 | Other | INTERNAL ID-MOTOR VEHICLE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Park PL
Waukesha, WI 53186-4858
Phone (651) 631-6570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Homes of Wisconsin, Inc. | Physical Therapist | Current | Accepting new patients |
| Pain Management & Treatment Center, S.C. | Current | Accepting new patients | |
| Presbyterian Homes of Wisconsin, Inc. | Physical Therapist | Current | Accepting new patients |
| Presbyterian Homes of Wisconsin, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
8901 N 76th St
Milwaukee, WI 53223
Phone (414) 354-0772
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Waukesha, WI
- NPI 1336845551
Physical Therapist
-
- Specialist
- Milwaukee, WI
- NPI 1750412201
-
- Rehabilitation Clinic/Center
- Germantown, WI
- NPI 1194414441
Physical Therapist
-
- Rehabilitation Clinic/Center
- Muskego, WI
- NPI 1720775489
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013099845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 E PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959795",
"telephone_number": "262-334-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRAW",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "25000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.