Active NPI
Greenfield Physical Therapy & Sports Medicine LLC
- Physical Therapist
- Spooner, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Last updated
- Jul 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Marie Greenfield, PT
- Title
- Owner
- Phone
- (715) 635-3979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
112 Ash St
Spooner, WI 54801-1487
Mailing address
112 Ash St
Spooner, WI 54801-1487
Phone (715) 635-3979
National Provider Directory
National Provider DirectoryLocations
10405 Vermont Ave
Ste 10
Hayward, WI 54843
Phone (715) 699-1355
3921 30th Ave
Ste C
Kenosha, WI 53144
Phone (262) 925-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Spooner, WI
- NPI 1104853720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.