Warren M Green, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA10994 Issued in FL

Practice address

15241 Sonoma Dr
206
Fort Myers, FL 33908-7329

Phone

(781) 718-2669

NPI assigned

Dec 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260057600000",
    "number": "1275861049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15241 SONOMA DR",
            "address_2": "206",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087329",
            "telephone_number": "781-718-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15241 SONOMA DR",
            "address_2": "206",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087329",
            "telephone_number": "781-718-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WARREN",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA10994",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "2071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya L Green, LPN
• Michael Green II
• Michael Green
• Samantha Green
• Stephanie A Green, GROUP HOME PROVIDER
• David Isaac Greenberg, DMD
• Mark Alan Greenberg, M.D.
• Christine Greene, OTR/L
• Clinton Randall Greene, PH.D.
• Jennifer Moya Greene, AGNP-C

• Occupational Therapy Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; 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.