Linda Kim Green, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2007373 Issued in TX

Practice address

5800 W Baker Rd
Baytown, TX 77520-1618

Phone

(281) 382-0013

NPI assigned

Jan 21, 2019

Last updated

Jan 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Linda Kim Grove Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1699249912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 SUGAR CREEK DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775712724",
            "telephone_number": "281-382-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W BAKER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201618",
            "telephone_number": "281-382-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LINDA",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2007373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSCIAL THERAPIST ASSISTANT",
            "identifier": "2007373",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "GROVE",
            "middle_name": "KIM",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Lucille Graves, LPC
• Thomas Alan Gray, RPH
• Greater Houston Emergency Physicians PLLC
• Jennifer D Green, CST
• Lakeshia Denise Green, LPC
• Ronda Gersteman Green, DDS
• Greg Terry, M.D.,PA
• Ashley Gregory, PTA
• Kassidy Grevemberg, OTA
• Madison Gross

• Physical Therapy Assistant in Baytown, TX
• Providers in Baytown, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.