Robert Green, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160961012 Issued in WA

Practice address

14841 179TH Ave SE Ste 340
Monroe, WA 98272-1127

Phone

(360) 794-7520

Fax

(360) 794-8947

NPI assigned

Sep 8, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Peak Orthopedic & Sports Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Monroe, WA
  • NPI 1205021276
  NPD

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1881574978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE STE 340",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-794-7520",
            "fax_number": "360-794-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE STE 340",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-794-7520",
            "fax_number": "360-794-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ROBERT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160961012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Dawn Goldsmith, LMP
• Irina Emily Goldstein
• Jimena Maria Gomez del Carpio, M.D.
• Lymaris E Gonzalez Amey, LMP
• Graham Jones, D.D.S., M.S.D., P.L.L.C.
• Kelly Marie Greiner, LMP
• Margaret Griffin, CMT
• Jacob Adam Grillo, PA-C
• Gumshoe Health, P.S
• Margaret Gustafson, ARNP

• Physical Therapy Assistant in Monroe, WA
• Providers in Monroe, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.