Active NPI
Tami Griswold
- Physical Therapy Assistant
- Lancaster, WI
National Provider Identifier
1275855272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 811019
- Practice address
- 507 S Monroe St
Lancaster, WI 53813-2054 - Phone
- (608) 723-3236
- NPI assigned
- Feb 18, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811019 | WI | MD | Physical Therapy Assistant |
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 Therapy Assistant | 225200000X | 811019 | WI | Primary |
Addresses
Primary practice location
507 S Monroe St
Lancaster, WI 53813-2054
Mailing address
507 S Monroe St
Lancaster, WI 53813-2054
NPI Registry JSON
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1275855272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S MONROE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MONROE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132054",
"telephone_number": "608-723-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISWOLD",
"first_name": "TAMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "811019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.