Individual provider Active NPI

Maria Aurora Green

  • Physical Therapist
  • Auburn, CA
National Provider Identifier
1639620305
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26626 Issued in CA
Practice address
11879 Kemper Rd Ste 4
Auburn, CA 95603-9021
Phone
(530) 885-3940
Fax
(530) 885-3984
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 PT26626 CA Primary

Addresses

Primary practice location

11879 Kemper Rd Ste 4
Auburn, CA 95603-9021

Mailing address

11879 Kemper Rd Ste 4
Auburn, CA 95603-9021
Phone (530) 885-3940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000872 CA Practitioner - Physical Therapist in Private Practice 6800253097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26626CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burger Physical Therapy Services Inc CurrentSince May 1, 2023 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc PastSince May 1, 2023 Accepting new patients

Locations

1301 E Bidwell St
Ste 101
Folsom, CA 95630
Phone (916) 983-5900

1301 E Bidwell St
Ste 201
Folsom, CA 95630

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

Organizations & group practices 2

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1639620305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 4",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3940",
            "fax_number": "530-885-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 4",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3940",
            "fax_number": "530-885-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARIA",
        "middle_name": "AURORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.