Wendi Green, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA01392 Issued in OH

Practice address

7837 Daytona St NW
Massillon, OH 44646-2331

Phone

(330) 830-6482

NPI assigned

Apr 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Wendi L Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1033537261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7837 DAYTONA ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462331",
            "telephone_number": "330-830-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7837 DAYTONA ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462331",
            "telephone_number": "330-830-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WENDI",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA01392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDI",
            "last_name": "BAILEY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mellissa Grace, PHARM D
• Tia Grant, LPN
• Brent Grass, APRN CNP
• Wendy L Greco-Lepsky, RN
• Christi Ann Green
• Charles Joey Greene, CDCA-PRE
• Dolores Grier
• Melissa Griffith-McCalla, FNP-C
• Susan B Griffiths, LPN
• Andre Grimes, CDCA, PRS

• All providers in Massillon, OH
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.