Active NPI
James Hunter Green, PT, DPT
- Physical Therapist
- Anniston, AL
National Provider Identifier
1033830179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10995
- Practice address
- 1703 Leighton Ave
Anniston, AL 36207-3832 - Phone
- (256) 235-2524
- Fax
- (256) 236-2573
- NPI assigned
- Sep 7, 2022
- Last updated
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH10995 | AL | Primary |
Addresses
Primary practice location
1703 Leighton Ave
Anniston, AL 36207-3832
Mailing address
1703 Leighton Ave
Anniston, AL 36207-3832
Phone (256) 235-2524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245395 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | app.fusionwebclinic.com | Other | Leaps & Bounds Pediatric Therapy Services, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10995 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1033830179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 LEIGHTON AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362073832",
"telephone_number": "256-235-2524",
"fax_number": "256-236-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 LEIGHTON AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362073832",
"telephone_number": "256-235-2524",
"fax_number": "256-236-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JAMES",
"middle_name": "HUNTER",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245395",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "app.fusionwebclinic.com",
"affiliation": "Y",
"endpointDescription": "EMR",
"affiliationName": "Leaps & Bounds Pediatric Therapy Services, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Documentation & Pt files",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PT Records",
"address_1": "1703 Leighton Ave",
"city": "Anniston",
"state": "AL",
"country_code": "US",
"postal_code": "362073832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.