Evergreen Rehabilitation Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15549 Issued in FL

Legal business name

EVERGREEN REHABILITATION SERVICES, LLC

Practice address

5026 McLaughlin Dr
Tallahassee, FL 32309-2744

Phone

(850) 591-0809

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Risa M Green, MSPTNPI 1487798336

Title

Owner

Phone

(850) 591-0809

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Risa Michele Green, P.T.

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1487798336
  NPD Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1114478492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 MCLAUGHLIN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 MCLAUGHLIN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092744",
            "telephone_number": "850-591-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-591-0809",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N. Evans, LPC
• Justin Evans
• Virden Evans, D.O.
• Brett Marie Everett, ARNP, FNP-C
• Tiffany Everett
• Cindy B. Evers, LCSW
• Kimberly Evers
• Matthew Evers
• Tanya M. Evers, M.D.
• Morgan Nicole Everson, PHARM.D.

• Physical Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.