Active NPI
Kristine Greve
- Occupational Therapist
- Fond Du Lac, WI
National Provider Identifier
1629290671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2316-026
- Practice address
- 845 South Main Street
Suite 120
Fond Du Lac, WI 54935 - Phone
- (920) 233-0447
- Fax
- (920) 233-1362
- NPI assigned
- May 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2316026 | WI | |
| Occupational Therapist | 225X00000X | 2316-026 | WI | Primary |
Addresses
Primary practice location
845 South Main Street
Suite 120
Fond Du Lac, WI 54935
Mailing address
845 South Main Street
Suite 120
Fond Du Lac, WI 54935
Phone (920) 233-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40886100 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2316-026 | WI | MD | Occupational Therapist |
| 2316026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylored Rehab, LLC | Occupational Therapist | Past | Accepting new patients |
| Rehab Arisces Home Health Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Fond Du Lac, WI
- NPI 1740626332
-
- Physical Therapy Clinic/Center
- Fond Du Lac, WI
- NPI 1356485791
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1629290671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SOUTH MAIN STREET",
"address_2": "SUITE 120",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54935",
"telephone_number": "920-233-0447",
"fax_number": "920-233-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 SOUTH MAIN STREET",
"address_2": "SUITE 120",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "54935",
"telephone_number": "920-233-0447",
"fax_number": "920-233-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREVE",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2316026",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2316-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40886100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.