Marilyn Jo Green, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8132 Issued in FL

Practice address

3400 N Lecanto Hwy
Suite B
Beverly Hills, FL 34465-3548

Phone

(352) 527-8489

Fax

(352) 527-2087

NPI assigned

Aug 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841308483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 N LAKESIDE VILLAGE DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653328",
            "telephone_number": "352-746-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N LECANTO HWY",
            "address_2": "SUITE B",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653548",
            "telephone_number": "352-527-8489",
            "fax_number": "352-527-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARILYN",
        "middle_name": "JO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Galvan, MD
• Gautam Ganguly
• Shani Adia Gary, MA
• Stefanie Glover, MA, MS
• Glen Herbert Goldsmith, P.T.A.
• Kimberly Griffin, LMT
• Jason M Haas
• Jerome L Hansen, PA
• Lauren Hartwell
• Shellene M Hattersley, LCSW

• Physical Therapist in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Physical Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.