Individual provider Active NPI

Mindy A Green, D.P.T.

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1326232299
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23526 Issued in FL
Practice address
1606 Micanopy Ave
Miami, FL 33133-2510
Phone
(954) 292-4670
NPI assigned
Sep 4, 2007
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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 23526 FL Primary

Addresses

Primary practice location

1606 Micanopy Ave
Miami, FL 33133-2510

Mailing address

1606 Micanopy Ave
Miami, FL 33133-2510
Phone (954) 292-4670

Other identifiers 2

IdentifierTypeStateIssuer
Y906HOtherFLBCBS
U6095AOtherFLMEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23526FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Towne Physical Therapist Past Accepting new patients
Plenitude, Inc. Physical Therapist PastSince Oct 13, 2014 Accepting new patients
Expert Rehab, LLC Physical Therapist Past Accepting new patients
Trinity 5 Inc Physical Therapist PastSince Jul 5, 2020 Accepting new patients
Physical Therapy in Your Home Inc Past Accepting new patients
Advance Physical Therapy Network LLC Physical Therapist PastSince Apr 1, 2013 Accepting new patients
Power Plus Rehab, Inc. Physical Therapist PastSince Dec 15, 2003 Accepting new patients

Organizations & group practices 7

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1326232299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 MICANOPY AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332510",
            "telephone_number": "954-292-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 MICANOPY AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332510",
            "telephone_number": "954-292-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MINDY",
        "middle_name": "A",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y906H",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U6095A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.