Individual provider Active NPI

Emily Marie Greenbrook, M.S

  • Speech-Language Pathologist
  • Chandler, AZ
National Provider Identifier
1740818624
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488
Phone
(480) 935-0614
NPI assigned
Mar 27, 2020
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

2248 N Alma School Rd Ste 102
Chandler, AZ 85224-2488

Mailing address

21840 Iden Ave N
Forest Lake, MN 55025-9113
Phone (651) 230-4759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000702 MN Practitioner - Qualified Speech Language Pathologist 3274053228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family Speech & Therapy Services, LLC Speech-Language Pathologist CurrentSince Mar 17, 2025 Accepting new patients
Amy Grulke, PLLC Speech-Language Pathologist CurrentSince Mar 29, 2020 Accepting new patients

Locations

2248 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 899-9484

1891 Station Pkwy NW
Andover, MN 55304
Phone (763) 307-4589

2649 W 78th St
Chanhassen, MN 55317
Phone (507) 601-6300

11100 86th Ave N
Maple Grove, MN 55369
Phone (612) 418-4324

10611 Baltimore St NE
Ste 200
Minneapolis, MN 55449
Phone (763) 290-1985

15590 90th St NE
Otsego, MN 55330
Phone (763) 308-3869

4301 Highway 7
Ste 155
St Louis Park, MN 55416
Phone (763) 755-4261

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1740818624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 IDEN AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550259113",
            "telephone_number": "651-230-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N ALMA SCHOOL RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242488",
            "telephone_number": "480-935-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBROOK",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.