Thomas Christopher Green

Individual provider Active NPI Physical Therapy Assistant · Independence, VA

NPI 1124901038 · NPPES record last updated Jul 28, 2025

Key facts

NPI
1124901038
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
400 S Independence Ave
Independence, VA 24348-3972
Phone
(276) 773-0303
NPI assigned
Jul 28, 2025
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

400 S Independence Ave
Independence, VA 24348-3972

Mailing address

2894 Rockbridge Rd
Troutdale, VA 24378-2087
Phone (540) 239-3285

Other providers in Independence, VA

All providers in Independence, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.