Kevin O'Shea Green Sr., PTA, MLDT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

948 Issued in SC

Practice address

1076 Ribaut Rd
Beaufort, SC 29902-5490

Phone

(832) 521-1970

NPI assigned

Mar 24, 2006

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447210489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BAYNARD RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066777",
            "telephone_number": "843-597-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025490",
            "telephone_number": "832-521-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KEVIN",
        "middle_name": "O'SHEA",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PTA, MLDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryne Andrew Graham, PA-C
• Lauren Grater
• Gravity Physical Therapy, Inc.
• John William Gray III, MD
• Roger C Gray, LAC, MAC, CCS, ADCII
• Jessica Greene, PTA
• Tristan Greenwalt, DMD
• Lora Grieco, LCSW
• Sally H. Griffith, CRNA
• Pamela Sue Grim, MD

• Physical Therapy Assistant in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.