Daniel Green, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.022960 Issued in IL

Practice address

109 N Aberdeen St
Chicago, IL 60607-1668

Phone

(630) 368-1771

NPI assigned

Jun 21, 2017

Last updated

Mar 2, 2023By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1265952345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N ABERDEEN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071668",
            "telephone_number": "630-368-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St Ste 1310",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021863",
            "country_code": "US",
            "telephone_number": "773-665-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2869 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574201",
            "country_code": "US",
            "telephone_number": "773-665-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2869 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574201",
            "country_code": "US",
            "telephone_number": "773-665-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11215 W 159th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604674416",
            "country_code": "US",
            "telephone_number": "773-938-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 E Wadsworth Park Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208096",
            "country_code": "US",
            "telephone_number": "385-308-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "070-022960",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "109 N Aberdeen St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606071668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgreen336757@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "109 N Aberdeen St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606071668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Green, RDH
• Brandi Marie Green, LCSW
• Caroline Lucille Green, DMD
• Charnell Green
• Cicely Green
• Daniel Green, MD
• David Green, MD
• Eliana Green
• Emily Smith Green, MD
• Emma Mari Green, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.