Greenfield Rehabilitation Agency, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREENFIELD REHABILITATION AGENCY, INC.

Doing business as

Rehab Resources

Practice address

3360 Gateway Rd Ste 100
Brookfield, WI 53045-5115

Phone

(262) 923-7101

Fax

(262) 923-7178

NPI assigned

Aug 22, 2016

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine A Brewer, PT, MBA, GCS, RAC-CTNPI 1417163551

Title

President

Phone

(262) 923-7101

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Rehab Resources Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790230571. Details of each certification follow.

• CCN 526551 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 526551

Legal name

REHAB RESOURCES

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 30, 1994

Last certification

Apr 5, 2024

Ownership / control type

Proprietary

Most recent change of ownership

Jul 29, 2016

Facility address

3360 Gateway Rd Suite 200
Brookfield, WI 53045

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Greenfield Rehabilitation Agency, Inc.

  • Physical Therapist
  • Brookfield, WI
  • NPI 1811907462

  4082660667

  Same PAC ID

Tax ID family

Greenfield Rehabilitation Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenfield Rehabilitation Agency, Inc.

  • Physical Therapist
  • Brookfield, WI
  • NPI 1811907462
  NPD tax ID

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bay Area Lutheran Homes Inc

  dba Woodside Lutheran Home

  • Skilled Nursing Facility
  • Green Bay, WI
  • NPI 1780756890

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Congregational Home Inc

  • Skilled Nursing Facility
  • Brookfield, WI
  • NPI 1942488044

  Operational/Managerial Control

  CMS ownership

Practitioners 145

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.

• Katherine Ann Brewer, PT

  • Geriatric Physical Therapist
  • Hartland, WI
  • NPI 1417163551
  NPD Authorized official
• Ashley Abel

  • Speech-Language Pathologist
  • Brookfield, WI
  • NPI 1235811886
  NPD
• Jessica Rose Beck

  • Physical Therapy Assistant
  • Brookfield, WI
  • NPI 1720713910
  NPD
• Elizabeth Marie Bohn

  • Occupational Therapist
  • West Bend, WI
  • NPI 1063191906
  NPD
• Virginia A Brath, OTR

  • Occupational Therapist
  • Greenfield, WI
  • NPI 1265489454
  NPD
• Tyler Cecil, OTR

  • Occupational Therapist
  • Greendale, WI
  • NPI 1528747185
  NPD
• Denise Renee Darling, COTA

  • Occupational Therapy Assistant
  • Brookfield, WI
  • NPI 1962665323
  NPD
• Sydni Doering

  • Occupational Therapist
  • Brookfield, WI
  • NPI 1942033923
  NPD
• Doug Charles Dralle, PT,DPT

  • Geriatric Physical Therapist
  • Brookfield, WI
  • NPI 1154283497
  NPD
• Meghan Callaghan Eytcheson, CCC-SLP

  • Speech-Language Pathologist
  • Green Bay, WI
  • NPI 1972283000
  NPD
• Molly A Gannon, SLP

  • Speech-Language Pathologist
  • Brookfield, WI
  • NPI 1659417616
  NPD
• Sara Ann Getz

  • Speech-Language Pathologist
  • Brookfield, WI
  • NPI 1922724749
  NPD

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1790230571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 GATEWAY RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455115",
            "telephone_number": "262-923-7101",
            "fax_number": "262-923-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 GATEWAY RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455115",
            "telephone_number": "262-923-7101",
            "fax_number": "262-923-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD REHABILITATION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-923-7101",
        "authorized_official_credential": "PT, MBA, GCS, RAC-CT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100062347",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Resources",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehab Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater Milwaukee Plastic Surgeons SC
• Debra Greeley, SLP
• Sarah Green, PSYD, LMFT
• Trelisha M Green
• Greenbrook Dentistry S C
• Greenfield Rehabilitation Agency, Inc.
• Gregory D. Rypel, M.D., S.C.
• Rachel Gremminger
• Dana Paletta Greulich, M.D.
• Kelly Ann Griffa

• Physical Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.