Active NPI
Hadiya Green, PT, DPT
- Physical Therapist
- Washington, DC
National Provider Identifier
1467621862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9238
- Practice address
- 3432 Eads St. NE
Washington, DC 20019 - Phone
- (646) 872-0931
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026320 | NY | |
| Physical Therapist | 225100000X | 008192 | CT | |
| Physical Therapist | 225100000X | 9238 | MN | Primary |
Addresses
Primary practice location
3432 Eads St. NE
Washington, DC 20019
Mailing address
3432 Eads St. NE
Washington, DC 20019
Phone (646) 872-0931
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA |
Other names 1
- Hadiya Guerrero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026320 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047
2021 K St NW
Ste 750
Washington, DC 20006
Phone (202) 293-1853
Organizations & group practices 5
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.
-
- Physical Therapist
- Washington, DC
- NPI 1427638832
-
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1548347008
Physical Therapist
-
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1538269303
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1467621862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3432 EADS ST. NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20019",
"telephone_number": "646-872-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3432 EADS ST. NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20019",
"telephone_number": "646-872-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "HADIYA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026320",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008192",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HADIYA",
"last_name": "GUERRERO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.