Michael Thomas Green, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1651 51St St
Sacramento, CA 95819-4503

Phone

(626) 644-2048

NPI assigned

Feb 12, 2015

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1225429251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 51ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194503",
            "telephone_number": "626-644-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 51ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194503",
            "telephone_number": "626-644-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalin Green
• Kanisha Renee Green
• Kayla Green
• Lakisha Green
• Marc Thomas Green Sr., CERTIFIED PEER
• Nicholas Green, BCTMB, NCTMB, HHP
• Norma Araceli Green
• Ralph Green, M.D.
• Rashida Green, LCSW
• Roy Albert Green III

• Athletic Trainer in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.