Kathleen O'Neill Greene, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT006568 Issued in GA

Practice address

500 Walton Way
Roswell, GA 30076-3418

Phone

(470) 306-0652

NPI assigned

Aug 3, 2020

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reliant Senior Living LLC

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1851265755
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Georgia, LLC

  • Multi-Specialty Clinic/Center
  • Cumming, GA
  • NPI 1952934374

  Geriatrics

  Medicare reassignment NPD
• Reliant Senior Living LLC

  • Physical Therapist
  • Hopedale, MA
  • NPI 1871457994
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1033729397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 JEFFREY DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882323",
            "telephone_number": "423-718-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTON WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763418",
            "telephone_number": "470-306-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KATHLEEN",
        "middle_name": "O'NEILL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT006568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Health Medical Ga PC
• Greater Atlanta Integrative Pediatrics
• Ashley Green
• Leah Green
• William Shelton Green, ATC
• Susan A Greene, APRN-BC
• Victoria Greene, RBT
• Greenline Medical Corporation
• Mark Greenspan, MSPT
• Jodi M. Greenwald, M.D.

• Geriatric Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Geriatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.