Ken L Greenstreet, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5470 Issued in AZ

Practice address

16838 E Palisades Blvd
Building B
Fountain Hills, AZ 85268-3845

Phone

(480) 837-2595

Fax

(480) 837-2773

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fountain Hills Physical Therapy LLCGroup PAC ID 4385946169, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

49.51 of 100Reported as individual

Quality

80

Improvement activities

0

Cost

58.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fountain Hills Physical Therapy LLC

  • Physical Therapist
  • Fountain Hills, AZ
  • NPI 1699148742
  Medicare reassignment Care Compare group NPD
• Synertx, Inc

  dba Synergy Therapy

  • Occupational Therapist
  • Phoenix, AZ
  • NPI 1306047931

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1710931043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606279",
            "telephone_number": "480-837-2595",
            "fax_number": "480-837-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "BUILDING B",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683845",
            "telephone_number": "480-837-2595",
            "fax_number": "480-837-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSTREET",
        "first_name": "KEN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Goudey
• Lisa T Graika, LCSW
• Helen Ann Grant
• Kelley Noel Graupner, MS, CCC-SLP
• Brittny Leigh Greene, APRN
• Julianne Greenway, M.S., CCC-SLP
• Kasey Ann Greff, M.S. SLP
• Gregnell LTD (Comfort Keepers)
• Samantha L Grey
• Grow Healthcare Group Arizona, PC (Grow Therapy)

• Physical Therapist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.