Sarah Ann Grotkiewicz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

298-19 Issued in WI

Practice address

531 Giddings Ave
Sheboygan Falls, WI 53085-1707

Phone

(920) 550-5254

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• FMG Mead Avenue Wisconsin LLC

  • Skilled Nursing Facility
  • Sheboygan, WI
  • NPI 1881083228
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1104158922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W55N453 LENOX PL APT 4",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122548",
            "telephone_number": "262-377-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 GIDDINGS AVE",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851707",
            "telephone_number": "920-550-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTKIEWICZ",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "298-19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE LICENSE",
            "identifier": "298-19",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Falls Healing Arts, S.C.
• Falls Health View Dental, SC
• Kelly Fladvid, MS, CCC-SLP
• Forefront Dermatology, S.C.
• Ryan Matthew Groh, LPC
• Guided Path Counseling, LLC
• Erin Therese Higgins
• Anne M Janning, N.P.
• Shelley Ann Janz, LCSW
• Elizabeth A Jensema, LCSW

• Physical Therapy Assistant in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.