Individual provider Active NPI

Isaiah J Greene, PT, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1679142152
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2518 Issued in CO
Practice address
1760 E Ken Pratt Blvd Ste 405
Longmont, CO 80504-5311
Phone
(720) 718-5400
Fax
(720) 718-5987
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2518 ND
Physical Therapist 225100000X 2518 CO Primary

Addresses

Primary practice location

1760 E Ken Pratt Blvd Ste 405
Longmont, CO 80504-5311

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-1103

Other practice location 1

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Other practice location 2

8101 E Lowry Blvd Ste 230
Denver, CO 80230-7195
Phone (303) 344-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240401002948 WY Practitioner - Physical Therapist in Private Practice 5294136248 Reassigns benefits to 3 organizations
I20250325004015 OR Practitioner - Physical Therapist in Private Practice 5294136248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene Physical Therapy LLCGroup PAC ID 0345221065, 10 clinicians

Practice addresses (Care Compare)

54 Oakway Ctr
Eugene, OR 97401-5645
Phone (541) 687-7005

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Merit-based Incentive Payment System (MIPS)

Final score
74.96 of 100Reported as group
Quality
70.73
Improvement activities
40
Cost
70.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2518NDMDOral and Maxillofacial Surgery (Dentist)
2518COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Country Rehabilitation,LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Bear Lodge Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Total Balance Dietitian, LLC CurrentSince Mar 24, 2024 Accepting new patients
Eugene Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
North Platte Physical Therapy Services, Inc. Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Uchealth Community Services Physical Therapist CurrentSince Jul 27, 2025 Accepting new patients
Memorial Hospital of Converse County PastSince Mar 18, 2024 Accepting new patients
Eugene Physical Therapy at Oak Street PastSince Apr 1, 2025 Accepting new patients

Locations

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

1760 E Ken Pratt Blvd
Ste 405
Longmont, CO 80504
Phone (720) 718-5400

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1461 Broadway N
Fargo, ND 58102
Phone (701) 293-6037

1461 Broadway N
Ste 105
Fargo, ND 58102
Phone (701) 293-6037

54 Oakway Ctr
Eugene, OR 97401
Phone (541) 687-7005

3917 E Pershing Blvd
Cheyenne, WY 82001
Phone (307) 514-2411

7226 Commons Dr
Ste B
Cheyenne, WY 82009
Phone (307) 514-5834

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

Organizations & group practices 8

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1679142152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-1103",
            "fax_number": "704-904-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 405",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-5400",
            "fax_number": "720-718-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 E Lowry Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ISAIAH",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2518",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.