Individual provider Active NPI

Bronte Green, DPT, PT

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1093261679
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31540 Issued in FL
Practice address
811 South Orlando Ave
#H Cora Rehab
Winter Park, FL 32789
Phone
(407) 539-1792
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31540 FL Primary

Addresses

Primary practice location

811 South Orlando Ave
#H Cora Rehab
Winter Park, FL 32789

Mailing address

9101 Summit Centre Way
Apt 303
Orlando, FL 32810-5974
Phone (407) 756-4917

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230424001161 CA Practitioner - Physical Therapist in Private Practice 7911362165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31540FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC CurrentSince Jan 4, 2023 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jan 4, 2023 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

2000 Center St
Ste 300
Berkeley, CA 94704
Phone (510) 644-3031

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001

707 Lincoln Ctr
Stockton, CA 95207
Phone (209) 470-5101

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1093261679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 SUMMIT CENTRE WAY",
            "address_2": "APT 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105974",
            "telephone_number": "407-756-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SOUTH ORLANDO AVE",
            "address_2": "#H CORA REHAB",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-539-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRONTE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.