Theresa Lynn Green, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0440 Issued in NH

Practice address

30 Colby CT
Bedford, NH 03110-6426

Phone

(603) 296-3705

NPI assigned

Nov 21, 2012

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Terri Green 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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1821332388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MAUVE TERACE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34286",
            "telephone_number": "603-714-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COLBY CT",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106426",
            "telephone_number": "603-296-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16472",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "GREEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mitchell Granoff, DO
• Allison M. Granucci, DPT
• Ward F Gravel, DDS
• Stefanie Reeves Gray, APRN
• Destiny Green, ND
• Andrea H Greenfeld, MD
• Scott D Greenwald, MD
• Amanda Grillo, APRN
• Brittany Grip
• Judy Gross, COTA

• Occupational Therapy Assistant in Bedford, NH
• Providers in Bedford, NH by specialty
• Occupational Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.