Individual provider Active NPI

Bryan Lynn Green, PT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1194925115
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4093 Issued in OK
Practice address
231 34TH Ave SW
Norman, OK 73072-4843
Phone
(405) 593-8353
Fax
(888) 558-6690
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X 4093 OK
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 4093 OK
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 4093 OK
Physical Therapist 225100000X 4093 OK 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 practice location 1

1904 Grandstand Dr
Ste 400
San Antonio, TX 78238-4508
Phone (210) 520-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320000353 OK Practitioner - Physical Therapist in Private Practice 5698806271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 34TH Ave SW
Norman, OK 73072-4843
Phone (405) 593-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Green Health, PLLC Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Multi-Specialty PastSince Oct 12, 2025 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1194925115",
    "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": [
        {
            "address_1": "1904 Grandstand Dr",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782384508",
            "country_code": "US",
            "telephone_number": "210-520-8070",
            "fax_number": "210-521-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRYAN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OK",
            "license": "4093",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "OK",
            "license": "4093",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "4093",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.