Kelby Rae Green, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06294 Issued in KS

Practice address

625 Kentucky St
Ashland, KS 67831-3199

Phone

(620) 635-2241

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James Mawhiney Physical Therapy Inc

  • Physical Therapist
  • Bermuda Dunes, CA
  • NPI 1851784177
  Medicare reassignment NPD
• Rehab Specialists, Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1487717153
  Medicare reassignment NPD
• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197
  NPD
• MVP Physical Therapy, LLC

  dba MVP Physical Therapy

  • Physical Therapist
  • Commerce City, CO
  • NPI 1326473141
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1194363507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BLAKE AVE",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671077513",
            "telephone_number": "620-960-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENTUCKY ST",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678313199",
            "telephone_number": "620-635-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KELBY",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Clark (Clark County Ambulance)
• D & B Pharmacy
• Rhodena Dewitt, RDN-LD
• Kimberly J Farris, PA-C
• Zachary Noah Gastelum, MD
• Linda Jensen
• Leslie Kvinge, DPT
• Dustin Cole McPhail, D.C
• James W Moffitt, MD
• Faith Elaine Poland

• Physical Therapist in Ashland, KS
• Providers in Ashland, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.