Katie Kristine Green

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047351 Issued in NY

Practice address

119 W 57TH St Ste 600
New York, NY 10019-2305

Phone

(212) 974-7252

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Female

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifestyle Physical Therapy, LLC.Group PAC ID 4880966985, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifestyle Physical Therapy, LLC

  • Physical Therapist
  • New York, NY
  • NPI 1023533619

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Cynergy Physical Therapy Midtown East PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1477171783

  Single Specialty

  Medicare reassignment NPD
• Miccass Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1932437134
  Medicare reassignment
• Lifestyle Rehabilitation LLC

  • Physical Therapist
  • New York, NY
  • NPI 1578431086

  Single Specialty

  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1437729530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KATIE",
        "middle_name": "KRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Lawrence Green, DPM
• Jonathan Louis Green, M.ED.
• Judith Mason Green, PH.D.
• Julia Green, MD
• Kathleen Ann Green, RNC, NNP
• Kelli Green
• Latrina Green, LP-LHMC
• Laura Rachel Green, MD
• Lauren Green
• Marianna Green

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.