Elissa Green, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8942 Issued in MA

Practice address

39 Brighton Ave
Allston, MA 02134-2301

Phone

(617) 783-3141

NPI assigned

Jan 2, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487711289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEYBRIDGE RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "617-783-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELISSA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne C Graham O'Brien, AUD, CCC-A
• Kate Louise Graham
• Granada House, Inc.
• Cheryl Lyn Grau
• James Noah Greear V, LCSW
• Lauryn Alonna Lychelle Green
• Torrey Griswold
• Dieulaunde Guillaume
• Olga Gurevich
• Susan Gustofson

• Physical Therapist in Allston, MA
• Providers in Allston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.