George Leo Greenwell Jr., OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

KY-R3618 Issued in KY

Practice address

1101 Woodland Dr
Elizabethtown, KY 42701-2749

Phone

(270) 765-6106

Fax

(270) 737-6690

NPI assigned

Jul 3, 2007

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

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255539003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 FARMAWAY DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048951",
            "telephone_number": "502-348-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-765-6106",
            "fax_number": "270-737-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "GEORGE",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R3618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Green
• Jennymarie Greenough, L.AC
• Bernard Damon Greenwell, MD
• Beth Ann Greenwell, PT, MPT, CLT-LANA
• Erica C Greenwell, PA
• Kristen McCann Greenwell
• Gregory D. Smith
• Jenny L Grimes, RN, MSN, CNOR, CSFA
• Delacey Groves
• Cathy R Grubbs, O.T.

• Occupational Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.