Patrick Green, ATC

Primary specialty

SpecialistTaxonomy code 174400000X

License

AT625 Issued in ME

Practice address

267 Ocean Ave
Portland, ME 04103-5707

Phone

(207) 756-9188

NPI assigned

Dec 8, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1649714726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36A MAPLEWOOD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033604",
            "telephone_number": "207-756-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035707",
            "telephone_number": "207-756-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PATRICK",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "AT625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Leaf Residential Care LLC
• Cassie M Green, PSYD
• Donald James Green
• John William Green, LCSW
• Matthew A. Green, MD
• Sandra Jean Green, ANP
• Sara K Green
• Sydney Marie Green, DO
• Gail Greenblatt, SLP
• Stephanie Lynn Greenfield, CNP, FNP

• Specialist in Portland, ME
• Providers in Portland, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.