Preston Green II, C.O.T.A.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3086 Issued in NM

Practice address

5900 Forest Hills Dr NE
Albuquerque, NM 87109-4129

Phone

(505) 822-6000

NPI assigned

Mar 25, 2015

Last updated

Mar 25, 2015By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1073907374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 VISTA ROJA PL NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241876",
            "telephone_number": "505-903-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FOREST HILLS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094129",
            "telephone_number": "505-822-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PRESTON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Green, AUD
• Faith Christine Green, LPN
• Kendall Bryce Green, M.D.
• Kerri D. Green, LMFT
• Miranda Astrid Green, MD
• Ross Steven Green, M.D.
• Susanna Paige Green
• Virginia K Green, LCSW
• William Frederick Green, MD
• Willie Green

• Occupational Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.