Cheryl D. Carrington Green, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23050001967 Issued in VA

Practice address

776 Oak Grove Rd
Chesapeake, VA 23320-3728

Phone

(757) 389-7900

NPI assigned

Jan 19, 2023

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 VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Old Dominion University

  • Physical Therapist
  • Norfolk, VA
  • NPI 1871929729
  Medicare reassignment NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1245945708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 LAKE FOREST DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013151",
            "telephone_number": "757-408-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 OAK GROVE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203728",
            "telephone_number": "757-389-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHERYL",
        "middle_name": "D. CARRINGTON",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "23050001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Bridge Chiropractic Physician PC
• Great Pathway Consulting Group LLC
• Great Things Transportation LLC
• Heather Leanne Greaves, PHARMD
• Green Gates Counseling Services, PLLC
• Christiana Green
• Diane Green, RN
• Michael Jamiel Green
• Pascale Green, RBT
• Sheryll Lafay Green, LPC

• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.