Individual provider Active NPI

Rayna Green, DPT

  • Physical Therapist
  • McDonough, GA
National Provider Identifier
1083382659
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015499 Issued in GA
Practice address
234 Jonesboro Rd
McDonough, GA 30253-3720
Phone
(770) 954-9631
NPI assigned
Aug 31, 2021
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015499 GA Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

234 Jonesboro Rd
McDonough, GA 30253-3720

Mailing address

234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824003663 GA Practitioner - Physical Therapist in Private Practice 8325422330 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Care LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Matrix Rehabilitation-Georgia Inc CurrentSince Jan 13, 2025 Accepting new patients
Matrix Rehabilitation-Georgia Inc PastSince Jan 13, 2025 Accepting new patients

Locations

4465 Nelson Brogdon Blvd
Ste 102
Buford, GA 30518
Phone (678) 761-1280

1404 Lawrenceville Suwanee Rd
Ste A1
Lawrenceville, GA 30043
Phone (678) 761-1280

234 Jonesboro Rd
McDonough, GA 30253
Phone (770) 954-9631

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1083382659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533720",
            "telephone_number": "770-954-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533720",
            "telephone_number": "770-954-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RAYNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015499",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.