Active NPI
Angela Griesenauer, OTR
- Occupational Therapist
- Noblesville, IN
National Provider Identifier
1841344009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3100746A
- Practice address
- 5570 Pebble Village LN
Suite 400
Noblesville, IN 46062-7423 - Phone
- (317) 770-9223
- Fax
- (317) 770-9266
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3100746A | IN | Primary |
Addresses
Primary practice location
5570 Pebble Village LN
Suite 400
Noblesville, IN 46062-7423
Mailing address
5570 Pebble Village LN
Suite 400
Noblesville, IN 46062-7423
Phone (317) 770-9223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31003746A | Other | IN | INDIANA LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3100746A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Noblesville, IN
- NPI 1326112004
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1841344009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 PEBBLE VILLAGE LN",
"address_2": "SUITE 400",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460627423",
"telephone_number": "317-770-9223",
"fax_number": "317-770-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 PEBBLE VILLAGE LN",
"address_2": "SUITE 400",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460627423",
"telephone_number": "317-770-9223",
"fax_number": "317-770-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESENAUER",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "3100746A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE NUMBER",
"identifier": "31003746A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.