Augustus Greife
Individual provider Active NPI Physical Therapist · Eagle River, WI
NPI 1093335192 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1093335192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 528 W Pine St
Eagle River, WI 54521-9083 - Phone
- (715) 365-5252
- NPI assigned
- Apr 20, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health in Motion, LLC
Practice addresses (Care Compare)
528 Hwy 70 W E
Eagle River, WI 54521
Phone (715) 477-1523
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200603002726 | WI | Practitioner - Physical Therapist in Private Practice | 9931520756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health in Motion, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
528 W Pine St
Eagle River, WI 54521
Phone (715) 477-1523
586 Shepard St
Rhinelander, WI 54501
Phone (715) 365-5256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
528 W Pine St
Eagle River, WI 54521-9083
Mailing address
586 Shepard St
Rhinelander, WI 54501-3552
Phone (715) 365-5252
Other providers in Eagle River, WI
- Christopher Stephen Fleming
- Sarah Anne Garrelts
- Amber Lorraine Glick
- Melissa Marie Gosda
- Grass Roots Health Foods
- Gremban & Gremban Dental S.C.
- Darrin James Gremban
- Gregory Allen Gremban
- Christine S Hare
- Hearing Advantage LLC
All providers in Eagle River, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.