Anthony Louis Green, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

800 E Chestnut St
Bellingham, WA 98225-5241

Phone

(360) 788-8143

Fax

(360) 756-4848

NPI assigned

Nov 10, 2010

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

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1114228947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N RIVER ST",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633010",
            "telephone_number": "360-249-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHESTNUT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255241",
            "telephone_number": "360-788-8143",
            "fax_number": "360-756-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Graves
• Matthew Robert Gray
• Sierra Gray
• Green Mountain Physical Therapy, LLC
• Green Mountain Psychology, PLLC
• Ashley Marie Green
• Jean Louise Green
• Michael Green, LICSW
• Ricky Neal Green, LICSW
• Dori J Greenaway

• Occupational Therapy Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.