Tyler Green

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070024078 Issued in IL

Practice address

920 Milwaukee Ave Ste 2300
Lincolnshire, IL 60069-3839

Phone

(847) 383-2700

NPI assigned

Jun 14, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1538899307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MILWAUKEE AVE STE 2300",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MILWAUKEE AVE STE 2300",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693839",
            "telephone_number": "847-383-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070024078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Goldberg, DDS
• George Ian Goldstein, M.D.
• Frannie E Goldwin, LCSW
• Good Guidance, LLC
• Megan M Goschey, MOT, OTR/L
• Dean M Griffin, LCSW
• Jennifer C. Griffith, D.C.
• Reilly Carolyn Guarnero, LMSW
• Tiffany Nicole Guthrie, PMHNP-BC
• Lawrence Hacker, R.PH.

• Orthopedic Physical Therapist in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.