Individual provider Active NPI

Cassie Janelle Greshow

  • Occupational Therapist
  • Jackson, MI
National Provider Identifier
1154810570
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009439 Issued in MI
Practice address
1201 E Michigan Ave Ste 320
Jackson, MI 49201-1854
Phone
(517) 205-7633
Fax
(517) 205-7634
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201009439 MI Primary

Addresses

Primary practice location

1201 E Michigan Ave Ste 320
Jackson, MI 49201-1854

Mailing address

3596 Harper Rd
Mason, MI 48854-9322
Phone (989) 501-1995

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgreshow456144@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614001697 MI Practitioner - Occupational Therapist in Private Practice 0143609602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Mar 21, 2022 Accepting new patients
Physiotherapy Associates Inc CurrentSince Mar 21, 2022 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients

Locations

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

120 S Dexter St
Ste 400
Ionia, MI 48846
Phone (616) 489-1001

11561 Edgerton Ave NE
Rockford, MI 49341
Phone (616) 866-2727

Interoperability endpoints

  • Direct secure messaging: cgreshow456144@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1154810570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 HARPER RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549322",
            "telephone_number": "989-501-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 320",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011854",
            "telephone_number": "517-205-7633",
            "fax_number": "517-205-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHOW",
        "first_name": "CASSIE",
        "middle_name": "JANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgreshow456144@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "1201 E Michigan Ave Ste 320",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.