Jocelyn Green

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2074473 Issued in TX

Practice address

716 Bay Ave
Panama City, FL 32401-4245

Phone

(850) 769-4200

Fax

(850) 769-7015

NPI assigned

Apr 29, 2012

Last updated

Apr 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1144588096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 BAY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324014245",
            "telephone_number": "850-769-4200",
            "fax_number": "850-769-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BAY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324014245",
            "telephone_number": "850-769-4200",
            "fax_number": "850-769-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOCELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2074473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tandra Renea Gray
• Cynthia Joyce Greathouse, MD
• Michael Vincent Greco, DO
• Green Wave Family Wellness Center
• Brittany Green
• Karen D Green, PHARMD
• Kenneth Vincent Green, DCSW LCSW
• Sandra Greene
• Amanda Greenwell, AU.D.
• Kelsey Greer, PA-C

• Physical Therapy Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.