Active NPI
Sandra Green, E-RYT 200 YOGA TEACH
- Rehabilitation Practitioner
- Pompano Beach, FL
National Provider Identifier
1184998460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 46583
- Practice address
- 3 Sunset LN
Pompano Beach, FL 33062-7344 - Phone
- (305) 684-3688
- NPI assigned
- Mar 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 46583 | FL | Primary |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | |||
| Athletic Trainer | 2255A2300X | 46583 | FL |
Addresses
Primary practice location
3 Sunset LN
Pompano Beach, FL 33062-7344
Mailing address
3 Sunset LN
Pompano Beach, FL 33062-7344
Phone (305) 684-3688
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46583 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330732800000",
"number": "1184998460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SUNSET LN",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627344",
"telephone_number": "305-684-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SUNSET LN",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627344",
"telephone_number": "305-684-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SANDRA",
"credential": "E-RYT 200 YOGA TEACH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-03",
"last_updated": "2012-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "FL",
"license": "46583",
"primary": true
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "46583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.