Lisa Diane Green, MOMT, MPT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT18800 Issued in CA

Practice address

150 Portola Rd
Ste. B
Portola Valley, CA 94028-7852

Phone

(650) 851-1145

Fax

(650) 851-9251

NPI assigned

Feb 22, 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)

Enrolled

State licenses

Practice roles

Locations

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.

• Lisa Green Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Portola Valley, CA
  • NPI 1376246470
  NPD Authorized official
• Pacific Therx

  • Physical Therapy Clinic/Center
  • Portola Valley, CA
  • NPI 1508315300
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528193240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD",
            "address_2": "STE. B",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-851-1145",
            "fax_number": "650-851-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD",
            "address_2": "STE. B",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-851-1145",
            "fax_number": "650-851-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MOMT, MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT18800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Opinion Health Services NJ LLC (Curai Health)
• Sylvia Hellene Friedberg, M.D.
• Mackenzie Lauren Froeberg, MA
• Andrew Hok-Cay Fung, DPT
• Gazebo Medical Corporation, P.C.
• Bradley Greenblott, M.D.
• Bradley Alan Greene, MD
• Kathryn Joanne Hallsten, M.D.
• Adam Christopher Hardy
• Healthtap Medical Group, P.C.

• Orthopedic Physical Therapist in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Orthopedic Physical Therapist in California

• 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.