Richard A Green, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1733 Issued in FL

Practice address

5350 Gulf of Mexico Drive
Suite 205
Longboat Key, FL 34228

Phone

(941) 387-8450

Fax

(941) 387-9718

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Key Rehab Inc

  • Physical Therapist
  • Longboat Key, FL
  • NPI 1770695256
  Authorized official Same address or phone

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1346421047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 GULF OF MEXICO DRIVE",
            "address_2": "SUITE 205",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "34228",
            "telephone_number": "941-387-8450",
            "fax_number": "941-387-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 GULF OF MEXICO DRIVE",
            "address_2": "SUITE 205",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "34228",
            "telephone_number": "941-387-8450",
            "fax_number": "941-387-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT1733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Fusselman, O.D.
• Gatordds PA (Longboat Key Dental)
• Philip M Gelber, MD
• Grecia Paola Gines Rivera
• GPS II
• Colleen Mary Healy, M.D.
• Melanie Elizabeth Heitman, PHARMD
• Holiday CVS LLC (CVS Pharmacy 03267)
• House Call Concierge Medicine, LLC
• Robert Charles Hutchinson, M.D.

• Physical Therapist in Longboat Key, FL
• Providers in Longboat Key, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.