Active NPI
Amethyst Messer, PT
- Physical Therapist
- Green Bay, WI
National Provider Identifier
1467613893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11151-024
- Practice address
- 725 S Webster Ave
Green Bay, WI 54301-3500 - Phone
- (920) 433-7822
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 11151-024 | WI | Primary |
Addresses
Primary practice location
725 S Webster Ave
Green Bay, WI 54301-3500
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11151 | WI | MD | Clinical Social Worker |
| 11151-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1467613893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
},
{
"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": "920-433-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSER",
"first_name": "AMETHYST",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11151-024",
"primary": true
}
],
"identifiers": [],
"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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.