Cameron Green

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21304 Issued in NC

Practice address

13 Hayward Office Park Ste 108
Waynesville, NC 28785-6970

Phone

(828) 452-1306

Fax

(828) 452-9058

NPI assigned

Jan 2, 2017

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialized Physical Therapy of the Carolinas LLCGroup PAC ID 6103134192, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Specialized Physical Therapy of the Carolinas LLC

  • Physical Therapy Clinic/Center
  • Asheville, NC
  • NPI 1720471154

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Specialized Physical Therapy of the Carolinas, LLC

  • Physical Therapy Clinic/Center
  • Asheville, NC
  • NPI 1003601022

  Physical Therapist

  NPD

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1831634765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HAYWARD OFFICE PARK STE 108",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287856970",
            "telephone_number": "828-452-1306",
            "fax_number": "828-452-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-02",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Lyn Giordano, LCSW
• Kristi Marie Gladd, LCSWA
• Goldman Chiropractic PLLC
• Amanda Graham Young
• Jordan Thomas Gratton, PHARMD
• Lori S Green, FNP-BC
• Heidi Griepp
• Cathy Lauren Grist, M.A.
• Kim Guercio
• Emily Catherine Halder, MA, CCC-SLP

• Physical Therapist in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.