Individual provider Active NPI

Hayden Lee Green, PTA

  • Physical Therapy Assistant
  • Norman, OK
National Provider Identifier
1376213298
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2758 Issued in OK
Practice address
231 34TH Ave SW
Norman, OK 73072-4843
Phone
(405) 593-8353
Fax
(888) 558-6690
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2758 OK Primary

Addresses

Primary practice location

231 34TH Ave SW
Norman, OK 73072-4843

Mailing address

231 34TH Ave SW
Norman, OK 73072-4843
Phone (405) 593-8353

Other names 1

  • Hayden Lee Green Professional name

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
2758OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Health, PLLC CurrentSince May 1, 2018 Accepting new patients

Locations

231 34th Ave SW
Norman, OK 73072
Phone (405) 593-8353

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1376213298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 34TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724843",
            "telephone_number": "405-593-8353",
            "fax_number": "888-558-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 34TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724843",
            "telephone_number": "405-593-8353",
            "fax_number": "888-558-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HAYDEN",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYDEN",
            "last_name": "GREEN",
            "middle_name": "LEE",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; 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.