Individual provider Active NPI

Erica Tayler Griesbaum

  • Occupational Therapist
  • Muskego, WI
National Provider Identifier
1811747173
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
S77W12929 McShane Dr
Muskego, WI 53150-4099
Phone
(414) 529-0100
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

S77W12929 McShane Dr
Muskego, WI 53150-4099

Mailing address

12540 Duncan LN Unit 104
New Berlin, WI 53151-8760
Phone (630) 995-2030

Other practice location 1

2600 Compass Rd
Glenview, IL 60026-8001
Phone (877) 787-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1811747173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 DUNCAN LN UNIT 104",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518760",
            "telephone_number": "630-995-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S77W12929 MCSHANE DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531504099",
            "telephone_number": "414-529-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Compass Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268001",
            "country_code": "US",
            "telephone_number": "877-787-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESBAUM",
        "first_name": "ERICA",
        "middle_name": "TAYLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.