Tamara G Green, PT
Individual provider Active NPI Physical Therapist · Lambertville, MI
NPI 1619904539 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1619904539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501016333 (MI)
- Practice address
- 7300 Secor Rd
Lambertville, MI 48144-9376 - Phone
- (734) 854-1260
- Fax
- (734) 854-3581
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016333 | MI | MD | Physical Therapist |
| PT010778 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtherapy Partners Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010778 | OH | |
| Physical Therapist | 225100000X | 5501016333 | MI | Yes |
Addresses
Primary practice location
7300 Secor Rd
Lambertville, MI 48144-9376
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000168967 | Other | ANTHEM |
Other names
- Tamara G White
Other providers in Lambertville, MI
- Friends of the Family Home Healthcare
- Jodi M Gaglio
- Tamarra Galloway
- Julia Gilson
- Janie Ginter
- Greenwood Rehab PLLC
- Douglas Greenwood
- H&P Foodtown Pharmacy, Inc
- Haematology-Oncology Associates of Ohio and Michigan PC
- James D Hardie
All providers in Lambertville, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.