Individual provider Active NPI

Jill Marie Grehn, LPTA

  • Physical Therapy Assistant
  • Ashland, WI
National Provider Identifier
1871760157
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
922019 Issued in WI
Practice address
1319 Beaser Ave
Ashland, WI 54806-3614
Phone
(715) 682-3468
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 922019 WI Primary

Addresses

Primary practice location

1319 Beaser Ave
Ashland, WI 54806-3614

Mailing address

1319 Beaser Ave
Ashland, WI 54806-3614
Phone (715) 682-3468

Other names 1

  • Mrs. Jill Marie Linkletter Former name

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

LicenseStateTypeSpecialty
922019WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1871760157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 BEASER AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063614",
            "telephone_number": "715-682-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 BEASER AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063614",
            "telephone_number": "715-682-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREHN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "922019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "LINKLETTER",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.