Individual provider Active NPI

Erica Widas Folker

  • Physical Therapist
  • Green Bay, WI
National Provider Identifier
1922486281
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2664 S Oneida St Ste 102
Green Bay, WI 54304-5615
Phone
(920) 321-5700
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2664 S Oneida St Ste 102
Green Bay, WI 54304-5615

Mailing address

2866 Gentle Hills CT.
De Pere, WI 54115
Phone (919) 760-9309

Other practice location 1

2866 Gentle Hills Ct.
De Pere, WI 54115
Phone (919) 760-9309

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1922486281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 GENTLE HILLS CT.",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "919-760-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 S ONEIDA ST STE 102",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045615",
            "telephone_number": "920-321-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2866 Gentle Hills Ct.",
            "address_purpose": "LOCATION",
            "city": "De Pere",
            "state": "WI",
            "postal_code": "54115",
            "country_code": "US",
            "telephone_number": "919-760-9309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLKER",
        "first_name": "ERICA",
        "middle_name": "WIDAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.