Gaylynee Green, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01873 Issued in KS

Practice address

700 W Central Ave Ste 206
El Dorado, KS 67042-2186

Phone

(316) 452-5113

Fax

(316) 452-5171

NPI assigned

Apr 27, 2023

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1558059527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 206",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422186",
            "telephone_number": "316-452-5113",
            "fax_number": "316-452-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 206",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422186",
            "telephone_number": "316-452-5113",
            "fax_number": "316-452-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GAYLYNEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Jean Greene, NP-C
• Ashley M Greer, APRN
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• Physical Therapy Assistant in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.