Blair Green, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006847 Issued in GA

Practice address

3300 Northeast Expy NE
Building 8, Suite C
Atlanta, GA 30341-3932

Phone

(770) 500-3848

NPI assigned

Apr 11, 2007

Sex

Female

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Catalyst Physical TherapyGroup PAC ID 3274893532, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catalyst Physical Therapy

  • Orthopedic Physical Therapist
  • Atlanta, GA
  • NPI 1396259701
  Medicare reassignment Care Compare group NPD Authorized official
• One on One Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1962868620
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336362029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 TRACE VIEWS DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711436",
            "telephone_number": "770-500-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NORTHEAST EXPY NE",
            "address_2": "BUILDING 8, SUITE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413932",
            "telephone_number": "770-500-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BLAIR",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Nicole Green, RD
• Alyson J Green, AGCNS-BC
• Amber Green
• Andrea Green
• Antoine Green, RBT
• Blake Green, FNP
• Bobbie Green
• Bruce G Green, MD
• Carey Green Jr., MD
• Carrie Green

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.