DR. RYAN GREVE (PT, DPT, CMTPT, CCI) – Physical Therapist, NPI 1407175391
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,000 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for DR. RYAN GREVE (PT, DPT, CMTPT, CCI)
1701 Fond Du Lac Ave
Kewaskum, WI 530409129
Phone: (262) 626-4616
Type: Location
110 LONE OAK LN
HARTFORD, WI 530272600
Phone: (262) 670-1800
Fax: (262) 836-6350
Type: Mailing
W3016 COUNTY ROAD H
PINE RIVER, WI 549658276
Phone:
Type: Mailing
225 MEMORIAL DR
BERLIN, WI 549231243
Phone: (920) 361-5534
Type: Location
110 Lone Oak Ln
Hartford, WI 530272600
Phone: (262) 670-1800
Type: Location
7901 S 6TH ST
OAK CREEK, WI 531542010
Phone: (414) 346-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109002325 | I | Physical Therapist In Private Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Family Practice, Emergency Medicine | WI | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| Rheumatology, Internal Medicine | WI | |
| Physical Therapist In Private Practice | WI |
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