Cody Allen Greene, MS , OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5844 Issued in AL

Practice address

280 Mt Hebron Rd
Elmore, AL 36025-1526

Phone

(334) 567-8484

NPI assigned

Jul 6, 2022

Last updated

Jul 20, 2022By the provider in NPPES

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1386377364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAPLEWOOD DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360933928",
            "telephone_number": "757-320-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MT HEBRON RD",
            "city": "ELMORE",
            "state": "AL",
            "postal_code": "360251526",
            "telephone_number": "334-567-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2703 Legends Pkwy",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667755",
            "country_code": "US",
            "telephone_number": "334-380-4930",
            "fax_number": "205-803-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CODY",
        "middle_name": "ALLEN",
        "credential": "MS , OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Elmore, AL
• Providers in Elmore, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.