Evan Greene, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026992-1 Issued in NY

Practice address

20 W Lincoln Ave Ste 205
Valley Stream, NY 11580-5731

Phone

(516) 825-1112

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Connecticut School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Valley Stream Physical Therapy PLLCGroup PAC ID 1355583378, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Central Valley Stream Physical Therapy PLLC

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1831442797
  Medicare reassignment Care Compare group NPD Authorized official
• New York Physical Therapy, P.C.

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1437120987
  NPD Authorized official

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1700853868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE STE 205",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805731",
            "telephone_number": "516-825-1112",
            "fax_number": "516-256-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE STE 205",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805731",
            "telephone_number": "516-825-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Old Country Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118035027",
            "country_code": "US",
            "telephone_number": "516-433-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "EVAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "026992-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "026992-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Ashley Green
• David N Green, D.C.
• Sara Greenberg
• Heather L Greenblatt
• Shira Greenblatt, M.S.ED
• Sharon G Greenwald Schulman, MASTERS DEGREE
• Mireille Gregoire
• Alexander Grif, DO
• Jasmine Griggs
• Jannique Keisha Griszell

• Physical Therapist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.