Myron Westley Green, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

955 Interstate Ridge Dr Unit E
Gainesville, GA 30501-7051

Phone

(678) 936-8695

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Prosper Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Dawsonville, GA
  • NPI 1720660152
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1023573029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 PINE GROVE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092369",
            "telephone_number": "404-234-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 INTERSTATE RIDGE DR UNIT E",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017051",
            "telephone_number": "678-936-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MYRON",
        "middle_name": "WESTLEY",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rebecca Green, PT, DPT
• Chelsea Ariana Green
• James Ellis Green, MD
• John Guy Green III, RPH
• Kristen W Green, PH.D.
• Amy Elizabeth Greene
• Cynthia Fulenwider Greene
• Rachel Greene, CRNA
• Suzanne Roberts Greene, MSW LCSW
• William Albert Cates Greene Jr., M.D.

• Occupational Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.