Patrick E Green, MS PT CERT MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0129561 Issued in NY

Practice address

15 South Main Street
Suite 220
Jamestown, NY 14701

Phone

(716) 488-2322

Fax

(716) 488-2574

NPI assigned

Jun 15, 2006

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.green.1@22211.direct.athenahealth.com

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.

• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1255375143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 SCANDIA DRIVE",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "14712",
            "telephone_number": "716-488-2322",
            "fax_number": "716-488-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTH MAIN STREET",
            "address_2": "SUITE 220",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "14701",
            "telephone_number": "716-488-2322",
            "fax_number": "716-488-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PATRICK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MS PT CERT MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0129561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Michele Gray, P.A.
• Lynn M Graziano, LCSWR
• Great Lakes Physician Practice PC
• Lisa B Greeley, LMSW
• Green Prosthetics & Orthotics LLC
• Susan M Green, OTL
• Virginia H Green
• Marshall Bernard Greenstein, M.A.-LMHC, LMFT
• Thomas Lee Greer, MD
• Susan Grey, PHARMD, RPH

• Physical Therapist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.