ERIK BRIAN GREGERSEN (NPI# 1235422064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235422064 |
| Entity Type | Individual |
| Full Name | ERIK BRIAN GREGERSEN |
| Credential | PT |
| Practice Address |
3263 Eaton Rd Green Bay WI 54311-6830 |
| Practice Telephone | 9204336700 |
| Mailing Telephone | 9204336700 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11701-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TEMP WI LICENSE | 11701-024 | 01 |
| Street Address |
3263 EATON RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154306611 | Todd A Winney | Physical Therapist | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2005-12-07 |
| 1407405012 | Ashley M Hall | Nurse Practitioner | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2019-09-06 |
| 1518444694 | Tina Brossow | Nurse Practitioner | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2018-07-23 |
| 1841787785 | Emily R Bourguignon | Physician Assistant | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2018-04-17 |
| 1386146082 | Dylan A. Valentine | Registered Nurse | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2018-03-08 |
| 1558860205 | Daniel J Roenz | Physical Therapist | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2018-02-08 |
| 1992216162 | Baycare Clinic, LLP | Neurological Surgery | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2017-10-16 |
| 1497285480 | Daniel J Verhagen | Physical Therapist | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2017-06-13 |
| 1831623610 | Alyssa R Torn | Physical Therapist | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2017-04-18 |
| 1548619117 | Bellin Memorial Hospital Inc | Clinic/Center | 3263 Eaton Rd, Suite 1, Green Bay, WI 54311-6830 | 2016-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967558 | Theresa Ynez Baclohan Polistico | Physical Therapist | 2080 Verlin Rd Apt 16, Green Bay, WI 54311-6289 | 2020-06-23 |
| 1245716190 | John Kiskin | Physical Therapist | 403 N Ashland Ave, Green Bay, WI 54303-2803 | 2018-07-13 |
| 1689120941 | Sarah Lynn Anderson | Physical Therapist | 835 Webster, Green Bay, WI 54301-3526 | 2016-08-28 |
| 1164802567 | Bradley D Sarder | Physical Therapist | 2845 Greenbrier Rd Fl 2, Green Bay, WI 54311-6519 | 2015-06-02 |
| 1275943276 | Joshua Arvey | Physical Therapist | 615 Rolling Green Dr, Green Bay, WI 54313-5146 | 2014-04-30 |
| 1801192422 | Michael John Laviolette | Physical Therapist | 740 Aerostar Ln, Green Bay, WI 54313-6987 | 2011-01-28 |
| 1184873564 | Shawn G. Christenson | Physical Therapist | 600 S. Webster, Green Bay, WI 54301 | 2008-09-10 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| 1669648119 | Renee Anderson | Physical Therapist | 3101 Packerland Dr, Green Bay, WI 54313-6187 | 2008-05-05 |
| 1093981623 | Jennifer Lynn Balthazor | Physical Therapist | 2919 Shelter Creek Ct, Green Bay, WI 54313-4549 | 2008-05-04 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.