Joan S. Green, LMT, CIMI

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

7660 Issued in OR

Practice address

1524 Willamette St Ste 202
Eugene, OR 97401-4093

Phone

(541) 343-0823

NPI assigned

Apr 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jody S. Green Professional name

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1306089123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 WILLAMETTE ST STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014093",
            "telephone_number": "541-343-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 WILLAMETTE ST STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014093",
            "telephone_number": "541-343-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOAN",
        "middle_name": "S.",
        "credential": "LMT, CIMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "7660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "GREEN",
            "middle_name": "S.",
            "credential": "LMT, CIMI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christy J. Green, PMHNP-BC; FNP-BC
• Daniel Lee Green
• Hannah N Green, RN
• Jacob Irving Green, DPM
• Janet L Green, M.S.W.
• Kimberly Green
• Lauren Green
• Lilly Kaya Kyarthwyn Green, CNP
• Ryan Green
• Sara Elizabeth Green, PT

• Mechanotherapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Mechanotherapist in Oregon

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