Active NPI
Christy Green, OT
- Hand Occupational Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT00003879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8476475 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Physical Therapy Group | Hand | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Hand | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Current | Accepting new patients | |
| Highline Physical Therapy Group | Current | Accepting new patients | |
| Cascade Rehabilitation Associates, PLLC | Hand | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Current | 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.
-
- Occupational Therapist
- Everett, WA
- NPI 1245361617
-
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
-
- Physical Therapist
- Burien, WA
- NPI 1477797991
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.