Active NPI
Jay Brian Green, OTR/L
- Occupational Therapist
- Providence, RI
National Provider Identifier
1184995235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00887
- Practice address
- 225 Chapman St
Box 7
Providence, RI 02905-4533 - Phone
- (401) 490-7610
- NPI assigned
- Jan 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00887 | RI | Primary |
Addresses
Primary practice location
225 Chapman St
Box 7
Providence, RI 02905-4533
Mailing address
225 Chapman St
Box 7
Providence, RI 02905-4533
Phone (401) 490-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Outcomes LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Cumberland, RI
- NPI 1942827530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1184995235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CHAPMAN ST",
"address_2": "BOX 7",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054533",
"telephone_number": "401-490-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CHAPMAN ST",
"address_2": "BOX 7",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054533",
"telephone_number": "401-490-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JAY",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-21",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT00887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.