Bridgette Greene

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA71842 Issued in FL

Practice address

5433 54TH Way
West Palm Beach, FL 33409-7109

Phone

(347) 366-2877

NPI assigned

Jul 17, 2020

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

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1821606682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 54TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097109",
            "telephone_number": "347-366-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 54TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097109",
            "telephone_number": "347-366-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRIDGETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA71842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nattoniyo Green
• Prince Ella Green
• Rebecca Green
• Kim Greenberg
• Abraham Greene
• Jared Greene, BS
• Johnathan C Greenfield, MD
• Deborah Anne Greer, PTA
• Klendy Samantha Greer
• Gregg F. Moses DC PA

• Massage Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.