NPIMap

Organization Active NPI

Green Tree Therapeutics LLC

  • Rehabilitation Practitioner
  • Silver Spring, MD
National Provider Identifier
1801019088
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
21045 Issued in MD
Legal business name
GREEN TREE THERAPEUTICS LLC
Practice address
11120 New Hampshire Ave
Suite 506
Silver Spring, MD 20904-2633
Phone
(301) 592-8200
Fax
(301) 592-8300
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. David Michael Bullock, P.T.NPI 1447322482
Title
Founder & Chairman
Phone
(301) 592-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X PT870409 DC
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X 21045 MD Primary

Addresses

Primary practice location

11120 New Hampshire Ave
Suite 506
Silver Spring, MD 20904-2633

Mailing address

11120 New Hampshire Ave
Suite 506
Silver Spring, MD 20904-2633
Phone (301) 592-8200

Other names 1

  • White Oak Physical Therapy and Pain Management Center Doing business as

National Provider Directory

National Provider Directory

Locations

11120 New Hampshire Ave
Ste 506
Silver Spring, MD 20904
Phone (301) 592-8200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1801019088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 506",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-592-8200",
            "fax_number": "301-592-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 506",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-592-8200",
            "fax_number": "301-592-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN TREE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER & CHAIRMAN",
        "authorized_official_telephone_number": "301-592-8200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "DC",
            "license": "PT870409",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "MD",
            "license": "21045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Physical Therapy and Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.