Kendra Green, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38313 Issued in FL

Practice address

3569 Pilot Cir
Naples, FL 34120-0714

Phone

(239) 390-3978

Fax

(239) 206-4634

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1407635634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 PILOT CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341200714",
            "telephone_number": "239-390-3978",
            "fax_number": "239-206-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 PILOT CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341200714",
            "telephone_number": "239-390-3978",
            "fax_number": "239-206-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KENDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Danette Greco, ARNP
• Paul Thomas Greco, M.D.
• Green Star Healthcare Solutions LLC
• Carrie Green, TND
• Jennifer Rae Green
• Sydney Green
• Clifford Alan Greenberg, M.D.
• David Greene, M.D.
• Thi Hoang Greene
• Gabrielle Greenough

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.