Organization Active NPI

Greenwell & Greenwell, Inc.

  • Pediatric Occupational Therapist
  • Lebanon, KY
National Provider Identifier
1073635751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
R3058 Issued in KY
Legal business name
GREENWELL & GREENWELL, INC.
Practice address
315 Rosewood St
Lebanon, KY 40033-8128
Phone
(270) 699-2776
Fax
(270) 699-2780
NPI assigned
Apr 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jill B. Greenwell
Title
President
Phone
(270) 699-2776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X R3058 KY Primary

Addresses

Primary practice location

315 Rosewood St
Lebanon, KY 40033-8128

Mailing address

315 Rosewood St
Lebanon, KY 40033-8128
Phone (270) 699-2776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073635751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ROSEWOOD ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338128",
            "telephone_number": "270-699-2776",
            "fax_number": "270-699-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROSEWOOD ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338128",
            "telephone_number": "270-699-2776",
            "fax_number": "270-699-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWELL & GREENWELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-699-2776"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "R3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.