Organization Active NPI

Jan Greene Physical Therapy Inc

  • Occupational Therapist
  • Pittsfield, MA
National Provider Identifier
1023125960
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
JAN GREENE PHYSICAL THERAPY INC
Practice address
212 South Street
Pittsfield, MA 01201-6895
Phone
(413) 445-8030
Fax
(413) 445-8033
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jan M Greene, PT
Title
Physical Therapist Owner
Phone
(413) 445-8030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

212 South Street
Pittsfield, MA 01201-6895

Mailing address

212 South Street
Pittsfield, MA 01201-6895
Phone (413) 445-8030

Other identifiers 6

IdentifierTypeStateIssuer
9764640MedicaidMA
Y61476OtherMABLUE CROSS BLUE SHIELD
000000036869OtherMABMC HEALTH NET PLAN
0826773OtherMACIGNA
693866OtherMATUFTS
37363OtherMAHEALTH NEW ENGLAND

National Provider Directory

National Provider Directory

Locations

212 South St
Pittsfield, MA 01201
Phone (413) 445-8030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023125960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SOUTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016895",
            "telephone_number": "413-445-8030",
            "fax_number": "413-445-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016895",
            "telephone_number": "413-445-8030",
            "fax_number": "413-445-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN GREENE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "413-445-8030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764640",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61476",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET PLAN",
            "identifier": "000000036869",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0826773",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "693866",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "37363",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.