Natalie Lea Green, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004594 Issued in IL

Practice address

511 N Avon St
Rockford, IL 61101-5829

Phone

(563) 210-7471

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Natalie Lea Green Former name

Electronic endpoints 1

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1184264392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N AVON ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015829",
            "telephone_number": "563-210-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N AVON ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015829",
            "telephone_number": "563-210-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NATALIE",
        "middle_name": "LEA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nataliegreen88@icloud.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "336 1/2 E Lincoln Hwy",
            "city": "Dekalb",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601153338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "GREEN",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christy Green, L.S.W.
• Daniel Robert Green, DNP, NP-C
• Gordon K Green, PT, OMT
• James Leitze Green, M.D.
• Maria Juanita Green
• Rona Laticia Green, LPC
• Roger L Greenlaw, M.D.
• Christopher Lee Greenwaldt, DMD
• Greenwood Osteopractic Physical Therapy & Educational Services PLLC
• Jessica M Gregg, MSW LCSW

• Occupational Therapy Assistant in Rockford, IL
• Providers in Rockford, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.