Active NPI
Brock Joseph Grenier, OT
- Occupational Therapist
- Green Bay, WI
National Provider Identifier
1407501497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7184
- Practice address
- 725 S Webster Ave
Green Bay, WI 54301-3500 - Phone
- (920) 433-3655
- Fax
- (920) 433-3539
- NPI assigned
- Feb 17, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7184 | WI | Primary |
Addresses
Primary practice location
725 S Webster Ave
Green Bay, WI 54301-3500
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Other practice location 2
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other practice location 3
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Other practice location 4
1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7184-26 | Other | WI | PROFESSIONAL LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1407501497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013500",
"telephone_number": "920-433-3655",
"fax_number": "920-433-3539"
}
],
"practiceLocations": [
{
"address_1": "3263 Eaton Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543116830",
"country_code": "US",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5225",
"fax_number": "715-735-5388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Arbutus Ave",
"address_purpose": "LOCATION",
"city": "Oconto",
"state": "WI",
"postal_code": "541532004",
"country_code": "US",
"telephone_number": "920-835-1100",
"fax_number": "920-835-1099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1970 S Ridge Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543044125",
"country_code": "US",
"telephone_number": "920-430-4888",
"fax_number": "920-430-4889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRENIER",
"first_name": "BROCK",
"middle_name": "JOSEPH",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "7184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "7184-26",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.