Active NPI
Amy M Greenfield, PT
- Physical Therapist
- Spooner, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9895-024
- Practice address
- 112 Ash St
Spooner, WI 54801-1487 - Phone
- (715) 635-3979
- Fax
- (715) 635-3990
- NPI assigned
- Jun 27, 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 | 9895-024 | WI | Primary |
Addresses
Primary practice location
112 Ash St
Spooner, WI 54801-1487
Mailing address
112 Ash St
Spooner, WI 54801-1487
Phone (715) 635-3979
Other names 1
- Amy M Sundeen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060419000183 | WI | Practitioner - Physical Therapist in Private Practice | 4688683600 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Greenfield PT Comp LLC | Physical Therapist | Current | Accepting new patients |
| Advantage PT & Sports Rehab LLC | Current | Accepting new patients | |
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Spooner Physical Therapy & Wellness Inc | Physical Therapist | Past | Accepting new patients |
Locations
204 S Pine St
Burlington, WI 53105
Phone (262) 767-9579
10405 Vermont Ave
Hayward, WI 54843
Phone (715) 699-1355
600 52nd St
Ste 240
Kenosha, WI 53140
Phone (262) 656-0006
3921 30th Ave
Ste C
Kenosha, WI 53144
Phone (262) 925-5000
112 Ash St
Spooner, WI 54801
Phone (715) 635-2518
112 Ash St
Ste A
Spooner, WI 54801
Phone (715) 635-3979
Organizations & group practices 5
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
- Burlington, WI
- NPI 1881773463
WI
-
- Physical Therapist
- Shell Lake, WI
- NPI 1255005963
-
- Rehabilitation Clinic/Center
- Hayward, WI
- NPI 1902556012
-
- Rehabilitation Clinic/Center
- Kenosha, WI
- NPI 1619638350
-
- Physical Therapist
- Spooner, WI
- NPI 1093226011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1104853720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ASH ST",
"city": "SPOONER",
"state": "WI",
"postal_code": "548011487",
"telephone_number": "715-635-3979",
"fax_number": "262-925-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ASH ST",
"city": "SPOONER",
"state": "WI",
"postal_code": "548011487",
"telephone_number": "715-635-3979",
"fax_number": "715-635-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "AMY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9895-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SUNDEEN",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spooner, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.