Active NPI
Gregory Lee Eck, PT
- Physical Therapist
- Barron, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3581
- Practice address
- 1222 E Woodland Ave
Barron, WI 54812-1765 - Phone
- (715) 838-5222
- NPI assigned
- Feb 9, 2006
- Last updated
- Apr 24, 2018
- 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 | 3581 | WI | Primary |
Addresses
Primary practice location
1222 E Woodland Ave
Barron, WI 54812-1765
Mailing address
1801 W Knapp St
Ste 4
Rice Lake, WI 54868-1381
Phone (715) 838-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3581 | Other | WI | LICENSE |
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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1801 W Knapp St
Suite 4
Rice Lake, WI 54868-1381
Phone (715) 736-4384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Health Office, Co. | Past | Accepting new patients |
Locations
2130 Brackett Ave
Ste B
Eau Claire, WI 54701
Phone (715) 736-4384
1801 W Knapp St
Ste 4
Rice Lake, WI 54868
Phone (715) 736-4384
Interoperability endpoints
- https://api.platform.athenahealth.com/18208/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ET I Wound Healing Center
- Physical Therapy Clinic/Center
- Rice Lake, WI
- NPI 1760576789
Physical Therapist
-
- Health Service Clinic/Center
- Eau Claire, WI
- NPI 1104264241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1487627576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W KNAPP ST",
"address_2": "STE 4",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681381",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 E WOODLAND AVE",
"city": "BARRON",
"state": "WI",
"postal_code": "548121765",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "GREGORY",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3581",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barron, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.