Carl Keith Greenwood Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2068361 Issued in TX

Practice address

6211 S New Braunfels Ave
San Antonio, TX 78223-3175

Phone

(210) 531-0569

NPI assigned

Aug 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carlanditt Keith Greenwood Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1801378203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 S NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233175",
            "telephone_number": "210-531-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 S NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233175",
            "telephone_number": "210-531-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "CARL",
        "middle_name": "KEITH",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2068361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLANDITT",
            "last_name": "GREENWOOD",
            "middle_name": "KEITH",
            "suffix": "JR.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renae Greening, ATC, LAT
• Greenmaze Telehealth PLLC
• Jacob Lim Greenspan, DO
• Marie Greenstone
• Greentree Health
• Charlotte Coates Greenwood
• David W Greenwood, APN
• Kendra L Greenwood
• Charmaine Marie Greer-Pigue, LCSW
• Amori Greer

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.