Amie Anna Lee Greely, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1771-19 Issued in WI

Practice address

5800 Pennsylvania Ave
Appleton, WI 54914-7563

Phone

(920) 997-0725

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1134400401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 PENNSYLVANIA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147563",
            "telephone_number": "920-997-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 PENNSYLVANIA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147563",
            "telephone_number": "920-997-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Alderson St",
            "address_purpose": "LOCATION",
            "city": "Schofield",
            "state": "WI",
            "postal_code": "544763614",
            "country_code": "US",
            "telephone_number": "715-359-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N2665 County Road Qq",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "WI",
            "postal_code": "549460600",
            "country_code": "US",
            "telephone_number": "715-258-5586 x2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREELY",
        "first_name": "AMIE",
        "middle_name": "ANNA LEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1771-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Graser, BCBA
• Jessie M Grasse, NP
• Clarissa Mae Grathen, LPC-IT
• Sharon L Gray, PSYCHOLOGIST
• Great Lakes Orthotics & Prosthetics Inc.
• Green Meadows Senior Living LLC
• Bernard L Green, PH D
• Gearin A Green, M.D.
• Nicole Green, RPH
• Stephan A Green

• Physical Therapy Assistant in Appleton, WI
• Providers in Appleton, 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 Feb 3, 2023; 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.