Organization Active NPI

Green Health, PLLC

  • Physical Therapy Clinic/Center
  • Norman, OK
National Provider Identifier
1194264267
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GREEN HEALTH, PLLC
Practice address
231 34TH Ave SW
Norman, OK 73072-4843
Phone
(405) 593-8353
Fax
(888) 558-6690
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Bryan Lynn Green, PTNPI 1194925115
Title
Owner/Physical Therapist
Phone
(512) 924-8890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

231 34TH Ave SW
Norman, OK 73072-4843

Mailing address

231 34TH Ave SW
Norman, OK 73072-4843
Phone (512) 924-8890

Other identifiers 1

IdentifierTypeStateIssuer
200754520AMedicaidOK

Other names 3

  • ISJPT Doing business as
  • Integral Join & Spine Physical Therapy Doing business as
  • Integral Spine & Joint Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327000295 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799047080 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

231 34th Ave SW
Norman, OK 73072
Phone (405) 593-8353

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1194264267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 34TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724843",
            "telephone_number": "512-924-8890",
            "fax_number": "888-558-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 34TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724843",
            "telephone_number": "405-593-8353",
            "fax_number": "888-558-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-924-8890",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200754520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISJPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integral Join & Spine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integral Spine & Joint Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integral Spine & Joint Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.