Laurie Green, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24834 Issued in CA

Practice address

1079 N Vulcan Ave
Encinitas, CA 92024-1723

Phone

(760) 445-3408

Fax

(760) 456-9739

NPI assigned

Dec 22, 2006

Last updated

Oct 23, 2019By the provider in NPPES

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobility in-Home Physical Therapy IncGroup PAC ID 2062849250, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobility in-Home Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Encinitas, CA
  • NPI 1265072003

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1750446464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 N VULCAN AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241723",
            "telephone_number": "760-445-3408",
            "fax_number": "760-456-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 N VULCAN AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241723",
            "telephone_number": "760-445-3408",
            "fax_number": "760-456-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAURIE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Granata III, MFT
• Susan Michele Granata, M.A., MFT
• Sally Jo Grauer, M.S.CCC-SPL
• Dianne Smith Gray, L.C.S.W
• Carol Louise Green, D.C.
• Wendy Green, PT, DPT
• Jeffrey Howard Greenberg, D.D.S.
• Kathryn Greene, OTR/L
• Laura Weiner Greene, OT
• Amanda Lynn Greenwell, LCSW

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.