Active NPI
Ellen Theresa Greene, OTR/L.
- Mechanotherapist
- Garden City, NY
National Provider Identifier
1316236201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 000688-1
- Practice address
- 71 Clinton Rd
Garden City, NY 11530-4742 - Phone
- (516) 396-2500
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 000688-1 | NY | Primary |
Addresses
Primary practice location
71 Clinton Rd
Garden City, NY 11530-4742
Mailing address
661 Hoover St
East Meadow, NY 11554-5431
Phone (516) 804-0314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000688-1 | NY | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1316236201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 HOOVER ST",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115545431",
"telephone_number": "516-804-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 CLINTON RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304742",
"telephone_number": "516-396-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "ELLEN",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "OTR/L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NY",
"license": "000688-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.