Individual provider Active NPI

Thomas Greene, PT, MSPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1275594871
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA00881900 Issued in NJ
Practice address
100 Kissel Ave
Staten Island, NY 10310
Phone
(732) 306-7701
NPI assigned
Mar 31, 2006
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA00881900 NJ Primary

Addresses

Primary practice location

100 Kissel Ave
Staten Island, NY 10310

Mailing address

100 Kissel Ave
Staten Island, NY 10310-1624
Phone (732) 306-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070514000201 NJ Practitioner - Physical Therapist in Private Practice 7911912795 Reassigns benefits to 3 organizations
I20161220000161 NY Practitioner - Physical Therapist in Private Practice 7911912795 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA00881900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey F. Augustin, M.D. P.a. CurrentSince Aug 24, 2020 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Oct 9, 2018 Accepting new patients
Augustin Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Oct 9, 2018 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist CurrentSince Mar 14, 2022 Accepting new patients

Locations

526 Broadway
Bayonne, NJ 07002
Phone (201) 437-9700

864 Broadway
Bayonne, NJ 07002
Phone (201) 339-1109

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

1110 2nd Ave
Rm 302
New York, NY 10022
Phone (212) 842-0080

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1275594871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KISSEL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101624",
            "telephone_number": "732-306-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KISSEL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "732-306-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00881900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.