Cameron Douglas Green, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34867 Issued in FL

Practice address

1804 Oakley Seaver Dr Ste E
Clermont, FL 34711-1925

Phone

(352) 989-5838

Fax

(352) 404-8979

NPI assigned

Jul 31, 2019

Last updated

Aug 5, 2019By 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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Univ of Central Florida, College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bhealth LLCGroup PAC ID 2062879844, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Bhealth LLC

  • Physical Therapist
  • Oak Park, IL
  • NPI 1285217034
  Medicare reassignment Care Compare group NPD
• Fuller Health Group SC

  • Chiropractor
  • Oak Park, IL
  • NPI 1689806358

  Physical Therapist

  NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1285288910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LEXINGTON GREEN LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711013",
            "telephone_number": "407-322-3442",
            "fax_number": "407-322-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR STE E",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "352-989-5838",
            "fax_number": "352-404-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CAMERON",
        "middle_name": "DOUGLAS",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graydus LLC (Apex Health Direct Primary Care)
• Roshni Panchal Graydus, APRN
• Greater Horizons Therapy Services
• Green Meridian Integrative Wellness Center
• Angela Green, PHARMD
• Kara Green
• Katelyn Green, LMHC
• Janice Gregory, ARNP
• Kathryn Griffin, WHNP-BC
• Stacie L Griffin, LMT

• Physical Therapist in Clermont, FL
• Providers in Clermont, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.