Individual provider Active NPI

Heather L Green, DPT

  • Physical Therapist
  • Coldwater, MI
National Provider Identifier
1871977884
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017259 Issued in MI
Practice address
410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone
(517) 279-7887
Fax
(517) 279-6527
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017259 MI Primary

Addresses

Primary practice location

410 N Willowbrook Rd
Coldwater, MI 49036-9462

Mailing address

410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone (517) 279-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001435 MI Practitioner - Physical Therapist in Private Practice 1254646946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice and Orthopedic Care Center PCGroup PAC ID 8820123730, 9 clinicians

Practice addresses (Care Compare)

410 N Willowbrook Rd
Omega Physical Therapy
Coldwater, MI 49036-9462
Phone (517) 279-9599

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017259MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Famiily Practice and Orthopedic Care Center, P.C. Physical Therapist CurrentSince Jul 20, 2015 Accepting new patients
Family Practice & Orthopedic Care Center P.C. Current Accepting new patients

Locations

410 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 279-7887

38 E Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-2222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1871977884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-7887",
            "fax_number": "517-279-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.