Jennifer Lee Greenberg, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012122-1 Issued in NY

Practice address

5 Pebble Beach LN
Pebble Beach Physical Therapy, PLLC
White Plains, NY 10605-5117

Phone

(914) 946-3304

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Pebble Beach Physical Therapy PLLC

  • Physical Therapist
  • White Plains, NY
  • NPI 1073541074
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1114270865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PEBBLE BEACH LANE",
            "address_2": "PEBBLE BEACH PHYSICAL THERAPY, PLLC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-946-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PEBBLE BEACH LN",
            "address_2": "PEBBLE BEACH PHYSICAL THERAPY, PLLC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055117",
            "telephone_number": "914-946-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elisa Green
• Lynn Danielle Green, MD
• Paulette Elise Green, O.T./L
• Allen Solomon Greenbaum, M.D.
• Brian Geoffrey Greenberg, M.D.
• Nicole Elizabeth Greenberg, DPT
• Greenburgh Health Center
• Greenburgh Health Center
• Greenburgh Health Center
• Kimberly Heather Greene-Liebowitz, MD

• Physical Therapist in White Plains, NY
• Providers in White Plains, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.