Individual provider Active NPI

Christy Green, OT

  • Hand Occupational Therapist
  • Everett, WA
National Provider Identifier
1679615470
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT00003879 Issued in WA
Practice address
10511 19TH Ave SE
Suite B
Everett, WA 98208-4279
Phone
(425) 357-8885
Fax
(425) 357-8454
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT00003879 WA Primary

Addresses

Primary practice location

10511 19TH Ave SE
Suite B
Everett, WA 98208-4279

Mailing address

10505 19TH Ave SE
Ste B
Everett, WA 98208-4280
Phone (408) 570-0510

Other identifiers 1

IdentifierTypeStateIssuer
8476475MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070608000076 WA Practitioner - Occupational Therapist in Private Practice 3577661966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

12121 Harbour Reach Dr
Suite 100
Mukilteo, WA 98275-5314
Phone (425) 493-8313

9514 4TH St NE
Unit 101
Lake Stevens, WA 98258-1937
Phone (425) 397-2327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Hand CurrentSince Mar 1, 2020 Accepting new patients
Summit Rehabilitation PLLC Hand CurrentSince Jun 2, 2014 Accepting new patients
Summit Rehabilitation PLLC CurrentSince Jun 2, 2014 Accepting new patients
Highline Physical Therapy Group CurrentSince Mar 1, 2020 Accepting new patients
Cascade Rehabilitation Associates, PLLC Hand CurrentSince Dec 1, 2004 Accepting new patients
Cascade Rehabilitation Associates, PLLC CurrentSince Dec 1, 2004 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

10505 19th Ave SE
Ste B
Everett, WA 98208
Phone (408) 570-0510

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

Organizations & group practices 6

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1679615470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "408-570-0510",
            "fax_number": "408-945-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084279",
            "telephone_number": "425-357-8885",
            "fax_number": "425-357-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00003879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8476475",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.