Active NPI
Kelly Greeninger, OTR/L
- Hand Occupational Therapist
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 106700
- Practice address
- 15700 37TH Ave N Ste 220
Plymouth, MN 55446-3399 - Phone
- (651) 968-5600
- NPI assigned
- Nov 8, 2021
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 106700 | MN | Primary |
Addresses
Primary practice location
15700 37TH Ave N Ste 220
Plymouth, MN 55446-3399
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211116000241 | MN | Practitioner - Occupational Therapist in Private Practice | 0749679652 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Orthopedics, LTD
Practice addresses (Care Compare)
15700 37TH Ave N
Suite 150
Plymouth, MN 55446-3675
Phone (651) 968-5201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD | Hand | Current | Accepting new patients |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
15700 37th Ave N
Ste 220
Plymouth, MN 55446
Phone (651) 968-5600
15700 37th Ave N
Ste 150
Plymouth, MN 55446
Phone (651) 968-1627
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Organizations & group practices 17
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.
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
- Ambulatory Surgical Clinic/Center
- Eagan, MN
- NPI 1164870895
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Woodbury, MN
- NPI 1386007417
-
- Ambulatory Surgical Clinic/Center
- Woodbury, MN
- NPI 1811973639
-
- Orthopaedic Surgery Physician
- Blaine, MN
- NPI 1043566045
-
- Orthopedic Physical Therapist
- Minnetonka, MN
- NPI 1043967391
-
- Durable Medical Equipment & Medical Supplies
- Plymouth, MN
- NPI 1053779215
-
- Orthopaedic Surgery Physician
- Eagan, MN
- NPI 1063563518
-
- Orthopaedic Surgery Physician
- Vadnais Heights, MN
- NPI 1215358346
-
- Orthopaedic Surgery Physician
- Maple Grove, MN
- NPI 1295402774
-
- Orthopaedic Surgery Physician
- Minnetonka, MN
- NPI 1457028946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1033874672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925",
"telephone_number": "651-968-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 37TH AVE N STE 220",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463399",
"telephone_number": "651-968-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENINGER",
"first_name": "KELLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MN",
"license": "106700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.