Dustin Green, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37307 Issued in FL

Practice address

31964 US Highway 19 N
Palm Harbor, FL 34684-3730

Phone

(727) 786-2503

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1326616475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 CAMPHOR WAY",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31964 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843730",
            "telephone_number": "727-786-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Graham
• Granite Diagnostic Laboratories, Inc.
• Alan Graves, M.D.
• James William Graybill III, MD
• Lauren Eve Greco, CNA, HHA, MED TECH
• Lee Allen Greenberg, CPO/LPO
• Lisa Ellen Greenfield, LAT
• Gregory R. Filion DDS PA
• Diana Beach Grello
• Theresa R Gribbin, PHYSICIAN ASSISTANT

• Physical Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.