Active NPI
Kathryn Patrice Greene, DPT
- Pediatric Physical Therapist
- Clifton Park, NY
National Provider Identifier
1194073627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 035173-1
- Practice address
- 7 Southside Dr Ste 206
Clifton Park, NY 12065-3894 - Phone
- (518) 280-4294
- Fax
- (518) 280-4297
- NPI assigned
- Aug 15, 2012
- Last updated
- Aug 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 035173-1 | NY | Primary |
Addresses
Primary practice location
7 Southside Dr Ste 206
Clifton Park, NY 12065-3894
Mailing address
7 Southside Dr Ste 206
Clifton Park, NY 12065-3894
Phone (518) 280-4294
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035173-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1194073627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SOUTHSIDE DR STE 206",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653894",
"telephone_number": "518-280-4294",
"fax_number": "518-280-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SOUTHSIDE DR STE 206",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653894",
"telephone_number": "518-280-4294",
"fax_number": "518-280-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "KATHRYN",
"middle_name": "PATRICE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "035173-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.