Active NPI
Amy L Scrobel, PT
- Physical Therapist
- Menomonee Falls, WI
National Provider Identifier
1629243191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4019-024
- Practice address
- N87W17309 Main St
Menomonee Falls, WI 53051-2760 - Phone
- (262) 257-4700
- Fax
- (262) 250-7002
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- 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 | 4019-024 | WI | Primary |
Addresses
Primary practice location
N87W17309 Main St
Menomonee Falls, WI 53051-2760
Mailing address
N87W17309 Main St
Menomonee Falls, WI 53051-2760
Phone (262) 257-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40276300 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4019-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1629243191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N87W17309 MAIN ST",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512760",
"telephone_number": "262-257-4700",
"fax_number": "262-250-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N87W17309 MAIN ST",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512760",
"telephone_number": "262-257-4700",
"fax_number": "262-250-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCROBEL",
"first_name": "AMY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4019-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40276300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.