Elisabeth Lynn Greene, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038733 Issued in NY

Practice address

242 Port Watson St
Cortland, NY 13045-2823

Phone

(607) 758-7212

NPI assigned

May 6, 2015

Last updated

May 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elisabeth Lynn Jackson Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fadden & Associates Physical Therapy PLLC

  • Physical Therapist
  • Cortland, NY
  • NPI 1871701177
  Medicare reassignment NPD

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1609253939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 MCLEAN RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459376",
            "telephone_number": "607-423-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 PORT WATSON ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452823",
            "telephone_number": "607-758-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ELISABETH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "JACKSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Lynne Gorman-Fecco
• Jennifer Schiller Gorney, LCSW-R
• Erin E. Gray, LCSW
• Martha Grazul, LPN, CASAC
• Leah Ann Green, M.ED., CCC-SLP
• Lorie Jean Greenwood, RN
• Kristen Elizabeth Gregory, LPN
• Beth A Grella, NP
• Rebecca Grella, RPH, PHARMD
• Jody R Griffin, LPN

• Physical Therapist in Cortland, NY
• Providers in Cortland, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.