Erin E McCreary, PTA
Individual provider Active NPI Geriatric Physical Therapist · Luck, WI
NPI 1346533007 · NPPES record last updated May 27, 2011
Key facts
- NPI
- 1346533007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 844-19 (WI)
- Practice address
- 210 E Park Ave
Luck, WI 54853-9066 - Phone
- (715) 472-2164
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844-19 | WI | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Past | Accepting new patients | |
| United Pioneer Home, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 844-19 | WI | Yes |
Addresses
Primary practice location
210 E Park Ave
Luck, WI 54853-9066
Mailing address
151 260TH Ave
Cumberland, WI 54829-9384
Phone (715) 822-3631
Other providers in Luck, WI
- Amelia Pearl King
- Carol K Lanza
- Luck Dental Clinic, Inc.
- Luck Pharmacy Inc
- Amy Magnuson
- Meaningful Connections Therapy
- Cheryl Ann Mertens
- Kenneth Scott Nelson
- North Land Municipal Ambulance Inc
- Dawn Ogilvie
All providers in Luck, WI · Geriatric Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.