Angela Katherine Green, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2219 Issued in AR

Practice address

101 Morgan Keegan Dr Ste B
Little Rock, AR 72202-2267

Phone

(501) 519-7487

NPI assigned

Sep 14, 2018

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

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment Care Compare group NPD
• Therapy Zone Incorporated

  • Occupational Therapist
  • Brinkley, AR
  • NPI 1235159831
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1023795051
  NPD
• University of Arkansas for Medical Sciences

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
  • NPI 1275056004
  NPD

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1609359694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OZARK DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721135848",
            "telephone_number": "501-519-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MORGAN KEEGAN DR STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722022267",
            "telephone_number": "501-519-7487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Ozark Dr",
            "address_purpose": "LOCATION",
            "city": "Maumelle",
            "state": "AR",
            "postal_code": "721135848",
            "country_code": "US",
            "telephone_number": "501-519-7487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANGELA",
        "middle_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Earth Pharmacy Inc
• Adrienne Janerio Green
• Amanda Nichole Green
• Amy Green, MS, CCC-SLP
• Angela Green
• Angela S Green, LCSW
• Anna Green
• Ashley Elizabeth Green, APRN
• Benny J Green, M.D.
• Brandi Nicole Green, RN

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.