Mikayla Greve, PT

Individual provider Active NPI Physical Therapist · Ripon, WI

NPI 1669196465 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1669196465
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15905 (WI)
Practice address
1242 W Fond Du Lac St
Ripon, WI 54971-9288
Phone
(920) 745-4700
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc. (3,764 clinicians)

Practice addresses (Care Compare)

1242 W Fond Du Lac St
Ripon, WI 54971-9288
Phone (920) 745-4700

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251211002425 WI Practitioner - Physical Therapist in Private Practice 8224522719 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
15905WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Current
since Nov 2, 2025
Accepting new patients
Aurora Medical Group, Inc. Current
since Nov 2, 2025
Accepting new patients
Aurora Medical Center of Oshkosh, Inc Physical Therapist Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1242 W Fond du Lac St
Ripon, WI 54971
Phone (920) 722-7747

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15905 WI Yes

Addresses

Primary practice location

1242 W Fond Du Lac St
Ripon, WI 54971-9288

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

421 Camelot Dr
Fond Du Lac, WI 54935-8335
Phone (920) 923-7940

Other identifiers

IdentifierTypeStateIssuer
100222433MedicaidWI

Other names

  • Mikayla Morrow Former name

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address mmorrow326827@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Other providers in Ripon, WI

All providers in Ripon, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.