Individual provider Active NPI

Laura Greene, DPT

  • Physical Therapist
  • Mashpee, MA
National Provider Identifier
1730737966
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26200 Issued in MA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3213OtherHIUNIVERSITY HEALTH ALLIANCE

Other names 1

  • Laura Perez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@jacorehab.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220908001530 MA Practitioner - Physical Therapist in Private Practice 4486086493 Reassigns benefits to 1 organization
I20251001002628 WA Practitioner - Physical Therapist in Private Practice 4486086493 Reassigns benefits to 1 organization

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
Centralia Physical Therapy Inc PSGroup PAC ID 0648429688, 20 clinicians

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 100Reported as group
Quality
47.65
Improvement activities
40
Cost
76.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26200MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Physical Therapy Physical Therapist CurrentSince Jul 28, 2022 Accepting new patients
Centralia Physical Therapy Inc PS Physical Therapist CurrentSince Sep 8, 2025 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.

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.

Verify at the official NPI Registry.