Jaime Racine Green, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011232 Issued in MI

Practice address

350 Iron St
Negaunee, MI 49866-1830

Phone

(906) 401-0196

Fax

(906) 401-0276

NPI assigned

Jul 15, 2005

Last updated

Aug 11, 2015By 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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Active Partners LLCGroup PAC ID 5890920045, 10 clinicians

Practice addresses (Care Compare)

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.

• Superior Active Partners LLC

  dba Active Physical Therapy - Ishpeming

  • Physical Therapy Clinic/Center
  • Ishpeming, MI
  • NPI 1982045001

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Marquette Rehabilitation & Sports Medicine Center

  • Physical Therapy Clinic/Center
  • Marquette, MI
  • NPI 1376771287

  Physical Therapist

  Medicare reassignment NPD
• H & P Goodell, Inc.

  dba Goodell Physical Therapy & Fitness Training

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1013908169
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1225037864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN STE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-401-0196",
            "fax_number": "906-401-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 IRON ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661830",
            "telephone_number": "906-401-0196",
            "fax_number": "906-401-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAIME",
        "middle_name": "RACINE",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Recovery Centers
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers
• Great Lakes Recovery Centers (Teal Lake Women's Residential)
• Amy Greeley
• Michael S Grossman, MD
• Shelley Lynn Haagsma
• Kenneth W Hammerman, DO
• Stephanie Hanford
• Elissa M Harju, BS PSYCHOLOGY

• Physical Therapist in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.