Active NPI
Laura Greene, DPT
- Physical Therapist
- Mashpee, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26200
- Practice address
- 168 Industrial Dr
Mashpee, MA 02649-3561 - Phone
- (508) 477-4800
- Fax
- (808) 591-2245
- NPI assigned
- Aug 30, 2019
- Last updated
- Mar 10, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26200 | MA | Primary |
Addresses
Primary practice location
168 Industrial Dr
Mashpee, MA 02649-3561
Mailing address
168 Industrial Dr
Mashpee, MA 02649-3561
Phone (508) 477-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3213 | Other | HI | UNIVERSITY HEALTH ALLIANCE |
Other names 1
- Laura Perez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@jacorehab.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4833 Tumwater Valley Dr SE
Suite 150
Tumwater, WA 98501-4583
Phone (360) 858-7602
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.02 of 100
- Quality
- 47.65
- Improvement activities
- 40
- Cost
- 76.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26200 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Centralia Physical Therapy Inc PS | Physical Therapist | Current | Accepting new patients |
Locations
735 Attucks Ln
Hyannis, MA 02601
Phone (508) 778-0300
168 Industrial Dr
Ste 5
Mashpee, MA 02649
Phone (508) 477-4800
1316 Mt Saint Helens Way NE
Ste B
Castle Rock, WA 98611
Phone (360) 557-8020
1118 View Ave
Centralia, WA 98531
Phone (360) 736-5273
1817 S Market Blvd
Ste C
Chehalis, WA 98532
Phone (360) 996-4410
19548 Vision Dr SW
Ste C
Rochester, WA 98579
Phone (360) 669-0564
4833 Tumwater Valley Dr SE
Ste 150
Tumwater, WA 98501
Phone (360) 493-4160
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Castle Rock Physical Therapy
- Physical Therapist
- Centralia, WA
- NPI 1952666315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1730737966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 INDUSTRIAL DR",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493561",
"telephone_number": "508-477-4800",
"fax_number": "808-591-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 INDUSTRIAL DR",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026493561",
"telephone_number": "508-477-4800",
"fax_number": "808-591-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "LAURA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANCE",
"identifier": "3213",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@jacorehab.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HONOLULU",
"address_1": "1401 S Beretania St Ste 550",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968141880",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "PEREZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.