Erin E McCreary, PTA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

844-19 Issued in WI

Practice address

210 E Park Ave
Luck, WI 54853-9066

Phone

(715) 472-2164

NPI assigned

May 27, 2011

Last updated

May 27, 2011By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Pioneer Home, Inc

  • Skilled Nursing Facility
  • Luck, WI
  • NPI 1124015789
  NPD (past)
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1346533007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 260TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299384",
            "telephone_number": "715-822-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E PARK AVE",
            "city": "LUCK",
            "state": "WI",
            "postal_code": "548539066",
            "telephone_number": "715-472-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "ERIN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "844-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Pearl King, COTA/L
• Carol K Lanza, MS-CCC/SLP
• Luck Dental Clinic, Inc.
• Luck Pharmacy Inc (Luck Pharmacy)
• Amy Magnuson, DPT
• Meaningful Connections Therapy
• Cheryl Ann Mertens, BSPHARM
• Kenneth Scott Nelson, PHARMD
• North Land Municipal Ambulance Inc
• Dawn Ogilvie, LPN

• Geriatric Physical Therapist in Luck, WI
• Providers in Luck, WI by specialty
• Geriatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.