Soren Long Grieve, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02662 Issued in IA

Practice address

3439 Glen Oaks Blvd
Sioux City, IA 51104-1761

Phone

(712) 277-8295

Fax

(712) 277-8206

NPI assigned

Feb 9, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902947195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCORDIA DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042603",
            "telephone_number": "712-252-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 GLEN OAKS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041761",
            "telephone_number": "712-277-8295",
            "fax_number": "712-277-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEVE",
        "first_name": "SOREN",
        "middle_name": "LONG",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "23860",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251289-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445361",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5835230",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Pharmacy Inc
• Greenville Pharmacy Inc
• Paul Robert Gregory, M.D.
• Justin Grevengoed
• Teri L Griep Langholz, RN
• Suzanne J. Griffith, ARNP
• Catherine E Grimsley, MSN PMHNP-BC
• Danikah Grobe
• Katherine Grode, CRNA
• Ryan R Groetken, LMHC

• Physical Therapist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.