Dana Greene, PT, DIP.MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0095411 Issued in NY

Practice address

1054 James St
Syracuse, NY 13203-2749

Phone

(315) 422-2912

Fax

(315) 422-3538

NPI assigned

Jun 10, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Physical Therapy LLCGroup PAC ID 5294702460, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Physical Therapy LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1720082464
  Medicare reassignment Care Compare group NPD
• Acpm Podiatry Group, LTD

  • Foot & Ankle Surgery Podiatrist
  • Peoria, IL
  • NPI 1730261363
  NPD (past)
• Podiatric Management Systems LLC

  • Primary Podiatric Medicine Podiatrist
  • Lake Zurich, IL
  • NPI 1396968053
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821092545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032749",
            "telephone_number": "315-422-2912",
            "fax_number": "315-422-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032749",
            "telephone_number": "315-422-2912",
            "fax_number": "315-422-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DANA",
        "name_prefix": "Mr.",
        "credential": "PT, DIP.MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0095411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LISENCE NUMBER",
            "identifier": "0095411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timika Nicole Green, LPN
• David R. Greenberg, M.D.
• Gary Scott Greenberg, DMD FAGD
• Julie Simone Greenberg, RN
• Carol S Greene
• Darren Randolph Greene, RN
• Lea Greene
• Rhiannon Greene, MD
• Vawanyi Greene
• Yvonne Greene

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.