NPIMap

Organization Active NPI

Green Physical Therapy, Inc.

Doing business as Green Physical Therapy and Wellness Center

  • Physical Therapist
  • Moreno Valley, CA
National Provider Identifier
1649779919
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREEN PHYSICAL THERAPY, INC.
Doing business as
Green Physical Therapy and Wellness Center
Practice address
23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439
Phone
(951) 379-1500
Fax
(951) 379-1501
NPI assigned
Feb 1, 2018
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Glyniss Claudette Green, PT, DPT, OCSNPI 1164406377
Title
Ceo / Physical Therapist
Phone
(951) 379-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Orthopedic Physical Therapist 2251X0800X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439

Mailing address

23100 Eucalyptus Ave Ste C
Moreno Valley, CA 92553-5439
Phone (951) 379-1500

Other practice location 1

277 Rancheros Dr Ste 150
San Marcos, CA 92069-2976
Phone (951) 379-1500

Other practice location 2

2091 W Florida Ave Ste 210
Hemet, CA 92545-4800
Phone (951) 658-0005

Other practice location 3

851 E 6th St Ste A4
Beaumont, CA 92223-2371
Phone (951) 381-9600

Other practice location 4

32605 Temecula Pkwy Ste 103
Temecula, CA 92592-6838
Phone (951) 331-3660

Other practice location 5

26755 Jefferson Ave Ste D-1
Murrieta, CA 92562-8924
Phone (951) 574-6300

Other practice location 6

29791 Haun Rd Ste 102
Menifee, CA 92586-6548
Phone (951) 290-7145

Other names 1

  • Green Physical Therapy and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180403002466 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597027581 Receives reassigned benefits from 17 practitioners
Practice locations: Temecula, CA; San Marcos, CA; Murrieta, CA; Menifee, CA; Hemet, CA; Beaumont, CA; Moreno Valley, CA

National Provider Directory

National Provider Directory

Locations

2091 W Florida Ave
Ste 210
Hemet, CA 92545
Phone (951) 574-6300

29791 Haun Rd
Ste 102
Menifee, CA 92586
Phone (951) 290-7145

26755 Jefferson Ave
Ste D1
Murrieta, CA 92562
Phone (951) 574-6300

26881 Jefferson Ave
Ste C
Murrieta, CA 92562
Phone (951) 574-6300

32605 Temecula Pkwy
Ste 103
Temecula, CA 92592
Phone (951) 331-3660

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1649779919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535439",
            "telephone_number": "951-379-1500",
            "fax_number": "951-379-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 EUCALYPTUS AVE STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535439",
            "telephone_number": "951-379-1500",
            "fax_number": "951-379-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Rancheros Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692976",
            "country_code": "US",
            "telephone_number": "951-379-1500",
            "fax_number": "951-379-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2091 W Florida Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925454800",
            "country_code": "US",
            "telephone_number": "951-658-0005",
            "fax_number": "951-658-0009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 E 6th St Ste A4",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922232371",
            "country_code": "US",
            "telephone_number": "951-381-9600",
            "fax_number": "951-381-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32605 Temecula Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925926838",
            "country_code": "US",
            "telephone_number": "951-331-3660",
            "fax_number": "951-331-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26755 Jefferson Ave Ste D-1",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925628924",
            "country_code": "US",
            "telephone_number": "951-574-6300",
            "fax_number": "951-574-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29791 Haun Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866548",
            "country_code": "US",
            "telephone_number": "951-290-7145",
            "fax_number": "951-290-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GLYNISS",
        "authorized_official_middle_name": "CLAUDETTE",
        "authorized_official_title_or_position": "CEO / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "951-379-1500",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Physical Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

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