Active NPI
Kristen Greene, MPT
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1750768180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04459
- Practice address
- 8130 Kelwood Ave
Baton Rouge, LA 70806-4843 - Phone
- (225) 771-8173
- NPI assigned
- May 6, 2015
- 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 | 04459 | LA | Primary |
Addresses
Primary practice location
8130 Kelwood Ave
Baton Rouge, LA 70806-4843
Mailing address
8130 Kelwood Ave
Baton Rouge, LA 70806-4843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04459 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1750768180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8130 KELWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 KELWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064843",
"telephone_number": "225-771-8173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "KRISTEN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.