Individual provider Active NPI

Sarah E Green, PT, DPT, ATC

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1629506464
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011972 Issued in GA
Practice address
461 Johnny Mercer Blvd Ste C2
Savannah, GA 31410-2221
Phone
(912) 231-3619
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011972 GA Primary

Addresses

Primary practice location

461 Johnny Mercer Blvd Ste C2
Savannah, GA 31410-2221

Mailing address

6397 Lee Hwy
Chattanooga, TN 37421-2564
Phone (423) 238-3473

Other practice location 1

7010 Hodgson Memorial Dr
Savannah, GA 31406-2529
Phone (912) 401-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707002200 GA Practitioner - Physical Therapist in Private Practice 0941579882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

461 Johnny Mercer Blvd
Savannah, GA 31410-2218
Phone (912) 231-3619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011972GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Feb 28, 2022 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Ledesma Sports Medicine LLC Physical Therapist CurrentSince May 25, 2017 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist PastSince Feb 27, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

155 Medical Way
Ste A
Riverdale, GA 30274
Phone (770) 991-2747

461 Johnny Mercer Blvd
Ste C2
Savannah, GA 31410
Phone (912) 231-3619

461 Johnny Mercer Blvd
Ste C7
Savannah, GA 31410
Phone (912) 231-3619

7010 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 401-0443

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1629506464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 JOHNNY MERCER BLVD STE C2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102221",
            "telephone_number": "912-231-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 Hodgson Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062529",
            "country_code": "US",
            "telephone_number": "912-401-0443",
            "fax_number": "912-401-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.