Active NPI
Eric C. Niemann, P.T.
- Physical Therapist
- St Francis, WI
National Provider Identifier
1356461008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10616-024
- 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
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 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10616-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Company - West Allis East LTD | Current | Accepting new patients | |
| Chiropractic Company - West Allis North LTD | Current | 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.
-
- Chiropractor
- West Allis, WI
- NPI 1942494158
-
- Chiropractor
- West Allis, WI
- NPI 1376017517
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
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.