Active NPI
Anthony J Gries, PT
- Physical Therapist
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11100-24
- Practice address
- 2912 S Business Dr
Sheboygan, WI 53081-6520 - Phone
- (920) 803-2179
- NPI assigned
- Sep 13, 2008
- 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 | 11100-24 | WI | Primary |
Addresses
Primary practice location
2912 S Business Dr
Sheboygan, WI 53081-6520
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972752020 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 Memorial Dr
Suite 120
Manitowoc, WI 54220-2247
Phone (920) 652-9554
1365 -1367 Port Washington Rd
Grafton, WI 53024-9333
Phone (262) 474-0050
3234 Superior Ave
Sheboygan, WI 53081-1857
Phone (920) 547-2876
S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone (262) 971-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.05 of 100
- Quality
- 88.38
- Improvement activities
- 40
- Cost
- 64.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11100-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Past | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2394 Costco Way
Ste 120
Green Bay, WI 54311
Phone (920) 321-0348
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
Organizations & group practices 3
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 Therapist
- Pewaukee, WI
- NPI 1801907464
-
- Physical Therapist
- Greenfield, WI
- NPI 1174611313
-
- Physical Therapist
- Sheboygan, WI
- NPI 1578895702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1972752020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 S BUSINESS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816520",
"telephone_number": "920-803-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIES",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-13",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11100-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972752020",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.