Active NPI
Julie Lynne Green, MSPT, OCS
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1255391975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011280L
- Practice address
- 525 S 4TH St Ste 255
Philadelphia, PA 19147-1573 - Phone
- (215) 715-1367
- Fax
- (267) 507-9121
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011280L | PA | Primary |
Addresses
Primary practice location
525 S 4TH St Ste 255
Philadelphia, PA 19147-1573
Mailing address
2 W Redman Ave
Haddonfield, NJ 08033-2317
Phone (215) 715-1367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011280L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1255391975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W REDMAN AVE",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080332317",
"telephone_number": "215-715-1367",
"fax_number": "267-507-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S 4TH ST STE 255",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471573",
"telephone_number": "215-715-1367",
"fax_number": "267-507-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JULIE",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "MSPT, OCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011280L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.