Individual provider Active NPI

Risa Michele Green, P.T.

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1487798336
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008765 Issued in GA
Practice address
5026 McLaughlin Dr
Tallahassee, FL 32309-2744
Phone
(850) 591-0809
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008765 GA Primary
Physical Therapist 225100000X PT15549 FL

Addresses

Primary practice location

5026 McLaughlin Dr
Tallahassee, FL 32309-2744

Mailing address

5026 McLaughlin Dr
Tallahassee, FL 32309-2744
Phone (850) 591-0809

Other identifiers 3

IdentifierTypeStateIssuer
PT15549OtherFLLICENSE
PT008765OtherGALICENSE
PT15549OtherFLCHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405001074 FL Practitioner - Physical Therapist in Private Practice 8820339500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Orthopedic and Sports Physical Therapy P aGroup PAC ID 7810069127, 24 clinicians

Practice addresses (Care Compare)

2615 Centennial Blvd
Suite 101
Tallahasse, FL 32308-0589
Phone (850) 656-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15549FLMDPhysical Therapist
PT008765GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 4, 2026 Accepting new patients
Center for Orthopedic and Sports Physical Therapy P a Physical Therapist CurrentSince Apr 13, 2020 Accepting new patients
JMC Medical, LLC CurrentSince Mar 4, 2019 Accepting new patients

Locations

1989 Capital Cir NE
Ste 9
Tallahassee, FL 32308
Phone (850) 402-9776

2615 Centennial Blvd
Ste 101
Tallahassee, FL 32308

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1487798336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 MCLAUGHLIN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092744",
            "telephone_number": "850-591-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 MCLAUGHLIN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092744",
            "telephone_number": "850-591-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RISA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008765",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT15549",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT008765",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "PT15549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.