Amy J Green, R.P.T. – Physical Therapist

Key facts

NPI: 1124538004
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 070.006337 (IL)
Practice address: 535 E North St Ste C
Bradley, IL 60915-1188
Phone: (815) 802-7503
Fax: (815) 802-7514
NPI assigned: Oct 5, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

River Valley Physical Therapy Spine and Joint Center LLC Physical Therapist · Bradley, IL · NPI 1144401233

NPD PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
070.006337	IL	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
River Valley Physical Therapy Spine and Joint Center LLC	Physical Therapist	Current since Nov 21, 2021	Accepting new patients

Locations

535 E North St
Ste C
Bradley, IL 60915
Phone (815) 802-7503

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	070.006337	IL	Yes

Addresses

Primary practice location

535 E North St Ste C
Bradley, IL 60915-1188

Mailing address

535 E North St Ste C
Bradley, IL 60915-1188
Phone (815) 802-7503

Other providers in Bradley, IL

All providers in Bradley, IL · Physical Therapist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.