Jacquelyn Michelle Green, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018293 Issued in PA

Practice address

4714 Gettysburg Rd
Mechanicsburg, PA 17055

Phone

(717) 972-1100

NPI assigned

Apr 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA

  Medicare reassignment Care Compare group NPD
• PHS Physical Therapy, LLC

  • Physical Therapist
  • Camp Hill, PA
  • NPI 1912300096
  Medicare reassignment NPD
• PSHR Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hershey, PA
  • NPI 1871990713

  Physical Therapist

  Medicare reassignment NPD
• PHS Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • New Oxford, PA
  • NPI 1457994253
  NPD
• Rehab1 LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1902976855
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1700029428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 LINCOLN DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112632",
            "telephone_number": "717-395-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JACQUELYN",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra A Graham, RPH
• Tatiana N. Graham
• James Graziano, DPT
• Benjamin Greb, PA-C
• Courtlin Chase Green
• John Charles Green, D.O.
• Kathleen Green
• Valerie Taylor Green, COTA
• Autumn Sharee Greene, CCC/SLP
• Megan M Greevy, RD, LDN

• Physical Therapist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.