Individual provider Active NPI

Katherine Greening, DPT

  • Physical Therapist
  • Clive, IA
National Provider Identifier
1023823911
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
129634 Issued in IA
Practice address
10888 Hickman Rd Ste 2B
Clive, IA 50325-3715
Phone
(515) 520-8037
Fax
(515) 513-5506
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 129634 IA Primary

Addresses

Primary practice location

10888 Hickman Rd Ste 2B
Clive, IA 50325-3715

Mailing address

10888 Hickman Rd Ste 2B
Clive, IA 50325-3715
Phone (515) 520-8037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219002291 IA Practitioner - Physical Therapist in Private Practice 5193245272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Laurel Physical Therapy and RehabilitationGroup PAC ID 7911356274, 5 clinicians

Practice addresses (Care Compare)

10888 Hickman Rd
Suite 2B
Clive, IA 50325-3715
Phone (515) 520-8037

974 73Rd St
Suite 33
West Des Moines, IA 50265-1026
Phone (515) 473-4725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Laurel Physical Therapy and Rehabilitation Physical Therapist CurrentSince Feb 12, 2025 Accepting new patients

Locations

10888 Hickman Rd
Ste 2B
Clive, IA 50325
Phone (515) 520-8037

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1023823911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10888 HICKMAN RD STE 2B",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253715",
            "telephone_number": "515-520-8037",
            "fax_number": "515-513-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10888 HICKMAN RD STE 2B",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253715",
            "telephone_number": "515-520-8037",
            "fax_number": "515-513-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENING",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "129634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.

Verify at the official NPI Registry.