Vicki L Greenwell, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1122166 Issued in TX

Practice address

3817 Stagg Dr
Beaumont, TX 77701-3717

Phone

(409) 813-1920

Fax

(409) 813-1486

NPI assigned

Jun 1, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frazier Physical Therapy LTD

  • Physical Therapy Clinic/Center
  • Silsbee, TX
  • NPI 1992901532

  Physical Therapist

  NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073515359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013717",
            "telephone_number": "409-813-1920",
            "fax_number": "409-813-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013717",
            "telephone_number": "409-813-1920",
            "fax_number": "409-813-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1122166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Green, M.D
• Green's Transportation & Transit Services LLC (LLC)
• Tonya Greene, OTR
• Donald J. Greener, M.D.
• Greentree Health
• Gordon Scott Greer
• Shana Levine Gregory, R.PH
• Christy Phelan Greig, AU.D.
• Dennis Joseph Griffiths, FNP-C
• Grigoriy Rodonaia MD PA (Rodonaia Family Medicine and Aesthetics)

• Physical Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.