Green Life Care

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREEN LIFE CARE

Practice address

6921 182ND St
Fresh Meadows, NY 11365-3533

Phone

(917) 519-5269

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Theresa Alvizo

Title

President

Phone

(917) 519-5269

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.

• Ma Theresa Enano Alvizo, BSPT

  • Physical Therapist
  • Bellmore, NY
  • NPI 1912920869
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1154559896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 182ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653533",
            "telephone_number": "917-519-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 182ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653533",
            "telephone_number": "917-519-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "ALVIZO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-519-5269"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grade a Homecare
• La Risa Graham, APRN
• Kiera Lilianne Grassi, DNP
• Odester Gray
• Christine Graziano, MS, OTR/L
• Kathleen M Gribbin
• Victoria Grinman
• Karina Grishina
• Marian Lee Gross
• William Phillip Gross, DDS

• All providers in Fresh Meadows, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.