Individual provider Active NPI

Eric C. Niemann, P.T.

  • Physical Therapist
  • St Francis, WI
National Provider Identifier
1356461008
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10616-024 Issued in WI
Practice address
2000 E Layton Ave
Suite 160
St Francis, WI 53235-6053
Phone
(414) 747-8400
Fax
(414) 747-8414
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10616-024 WI Primary

Addresses

Primary practice location

2000 E Layton Ave
Suite 160
St Francis, WI 53235-6053

Mailing address

2000 E Layton Ave
Suite 160
St Francis, WI 53235-6053
Phone (414) 747-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110002164 WI Practitioner - Physical Therapist in Private Practice 1355798448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - West Allis North LTDGroup PAC ID 5294825063, 4 clinicians

Practice addresses (Care Compare)

10025 W Greenfield Ave
Suite 100
West Allis, WI 53214-3957
Phone (414) 292-3499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10616-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - West Allis East LTD CurrentSince Feb 18, 2024 Accepting new patients
Chiropractic Company - West Allis North LTD CurrentSince Sep 1, 2023 Accepting new patients
Aurora Health Care Metro, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

10025 W Greenfield Ave
Ste 100
West Allis, WI 53214
Phone (414) 258-9777

10025 W Greenfield Ave
West Allis, WI 53214
Phone (260) 600-3757

Organizations & group practices 4

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1356461008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAYTON AVE",
            "address_2": "SUITE 160",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532356053",
            "telephone_number": "414-747-8400",
            "fax_number": "414-747-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAYTON AVE",
            "address_2": "SUITE 160",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532356053",
            "telephone_number": "414-747-8400",
            "fax_number": "414-747-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "ERIC",
        "middle_name": "C.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10616-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.