Greenfield Physical Therapy & Sports Medicine LLC

Key facts

NPI

1760929178

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

Legal business name

GREENFIELD PHYSICAL THERAPY & SPORTS MEDICINE LLC

Practice address

112 Ash St
Spooner, WI 54801-1487

Phone

(715) 635-3979

Fax

(715) 635-3990

NPI assigned

Jan 23, 2017

Organization subpart

No

Authorized official

Name

Amy Marie Greenfield, PT

Title

Owner

Phone

(715) 635-3979

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2021.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1760929178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011487",
            "telephone_number": "715-635-3979",
            "fax_number": "262-925-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011487",
            "telephone_number": "715-635-3979",
            "fax_number": "715-635-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD PHYSICAL THERAPY & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-635-3979",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

• Stephanie Lynne Fox
• Denise L. Frahm, PT
• Brian W Gaskill, DO
• Lauren Geier, ATC
• Ashley L Goffin
• Amy M Greenfield, PT
• Roger A Handtke, DO
• Trina Sue Hanson, COTA
• Parker Hewes, DC
• Travis W Hinze, PH.D.

All providers in Spooner, WI · Physical Therapist in Wisconsin