Laura A Green, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

123454 Issued in TX

Practice address

4711 E Riverside Dr Apt 1109
Austin, TX 78741-5004

Phone

(281) 636-6587

NPI assigned

Jul 17, 2023

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

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1144909995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 E RIVERSIDE DR APT 1109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787415004",
            "telephone_number": "281-636-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 E RIVERSIDE DR APT 1109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787415004",
            "telephone_number": "281-636-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Green, PH.D.
• Kelly Patrick Green, O.D.
• Kindrel Green
• Kristina Lynne Green, OT
• Krystal Cheyenne Green, LPC, NCC
• Louis Green
• Lucila Stephanie Green
• Pierce Green, LPC
• Sage Taylor Green, D.O.
• Shaneesha Denise Green

• Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.