Individual provider Active NPI

Heidi Ellen Greene, MPT

  • Physical Therapist
  • Manakin Sabot, VA
National Provider Identifier
1669427795
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004914 Issued in VA
Practice address
32 Broad Street Rd
Tuckahoe Physical Therapy Corp
Manakin Sabot, VA 23103-2213
Phone
(804) 784-7090
Fax
(804) 784-7092
NPI assigned
May 24, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 2305004914 VA Primary

Addresses

Primary practice location

32 Broad Street Rd
Tuckahoe Physical Therapy Corp
Manakin Sabot, VA 23103-2213

Mailing address

2415 Irisdale Ave
Richmond, VA 23228
Phone (804) 264-3397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000452 VA Practitioner - Physical Therapist in Private Practice 9638259179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodyworks Physical Therapy and RehabilitationGroup PAC ID 3870636178, 4 clinicians

Practice addresses (Care Compare)

12211 Kain Rd
Glen Allen, VA 23059-5720
Phone (804) 519-8751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Rehabilitation Associates, LLC Physical Therapist Past Accepting new patients
Tuckahoe Physical Therapy Corp Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669427795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 IRISDALE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-264-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BROAD STREET RD",
            "address_2": "TUCKAHOE PHYSICAL THERAPY CORP",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032213",
            "telephone_number": "804-784-7090",
            "fax_number": "804-784-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "HEIDI",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manakin Sabot, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.