Individual provider Active NPI

Nora Kathleen Greeley, DPT

  • Physical Therapist
  • Port Orchard, WA
National Provider Identifier
1992285621
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60848456 Issued in WA
Practice address
463 Tremont St W Ste 100
Port Orchard, WA 98366-3743
Phone
(360) 874-0745
Fax
(360) 874-0846
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 PT60848456 WA Primary

Addresses

Primary practice location

463 Tremont St W Ste 100
Port Orchard, WA 98366-3743

Mailing address

105 York Road
Syracuse, NY 13214
Phone (270) 348-6616

Other names 1

  • Nora Kathleen Greeley-Hickey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720000222 NY Practitioner - Physical Therapist in Private Practice 9032460159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045816NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Physical Therapy PLLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1992285621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 YORK ROAD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13214",
            "telephone_number": "270-348-6616",
            "fax_number": "360-874-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST W STE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663743",
            "telephone_number": "360-874-0745",
            "fax_number": "360-874-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREELEY",
        "first_name": "NORA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60848456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "GREELEY-HICKEY",
            "middle_name": "KATHLEEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.