Active NPI
Noah Greve
- Physical Therapist
- Waukesha, WI
National Provider Identifier
1962073247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15408
- Practice address
- W231N1440 Corporate CT
Waukesha, WI 53186-1303 - Phone
- (262) 896-6045
- NPI assigned
- Jul 7, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15408 | WI | Primary |
Addresses
Primary practice location
W231N1440 Corporate CT
Waukesha, WI 53186-1303
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
2835 N Grandview Blvd Ste 100
Pewaukee, WI 53072-5546
Phone (262) 574-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100175903 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngreve322097@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15408 | WI | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1962073247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W231N1440 CORPORATE CT",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861303",
"telephone_number": "262-896-6045"
}
],
"practiceLocations": [
{
"address_1": "2835 N Grandview Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Pewaukee",
"state": "WI",
"postal_code": "530725546",
"country_code": "US",
"telephone_number": "262-574-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREVE",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-07",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100175903",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngreve322097@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "W231N1440 Corporate Ct",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531861303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "W231N1440 Corporate Ct",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531861303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.