Harry Green Jr., MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22193 Issued in FL

Practice address

134 Red Bank Rd
Eutawville, SC 29048-9439

Phone

(718) 413-8408

NPI assigned

Jul 5, 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)

Enrolled

State licenses

Practice roles

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.

• Bolduc Physical Therapy Inc

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1184703340
  NPD (past)
• Elite Therapy Services, LLC

  • Physical Therapist
  • Fayetteville, GA
  • NPI 1164770434
  NPD (past)
• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1487685103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RED BANK RD",
            "city": "EUTAWVILLE",
            "state": "SC",
            "postal_code": "290489439",
            "telephone_number": "718-413-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 RED BANK RD",
            "city": "EUTAWVILLE",
            "state": "SC",
            "postal_code": "290489439",
            "telephone_number": "718-413-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HARRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Davis, IN HOME CARE PROVIDE
• Delta Palms Assisted Living LLC
• Vernell Dottery
• Eutawville Pharmacy
• Shakelia Fogle
• Jaunett James
• Magnolias of Eutawville
• Jesse McWaters
• Alma Leigh Mohr, LCSW
• Keisha Palmer

• Physical Therapist in Eutawville, SC
• Providers in Eutawville, SC by specialty
• Physical Therapist in South Carolina

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