Individual provider Active NPI

Anthony Greb, RPT

  • Physical Therapist
  • Columbia, CT
National Provider Identifier
1700952249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006317 Issued in CT
Practice address
106 Route 66 East
Columbia, CT 06237
Phone
(860) 228-0194
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Physical Therapy LLC (11 clinicians)

Practice addresses (Care Compare)

106 Route 66 E
Columbia, CT 06237-1224
Phone (860) 228-0194

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130109000150 CT Practitioner - Physical Therapist in Private Practice 8729231444 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
006317CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy LLC Physical Therapist Current
since Nov 5, 2012
Accepting new patients

Locations

106 Route 66 E
Columbia, CT 06237
Phone (860) 228-0194

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006317 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

106 Route 66 East
Columbia, CT 06237

Mailing address

106 Route 66 East
Columbia, CT 06237
Phone (860) 228-0194

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700952249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66 EAST",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66 EAST",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREB",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.