Active NPI
Christina Shrom Green, PT, DPT, OCS
- Sports Physical Therapist
- Houston, TX
National Provider Identifier
1891263828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- Practice address
- 6621 Fannin St
Houston, TX 77030-2358 - Phone
- (832) 824-1000
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | Primary |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2358
Mailing address
13022 Sunrise Creek LN
Sugar Land, TX 77498-7460
Phone (917) 599-7547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Drexel University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 E Jimmie Leeds Rd
Suite 10
Galloway, NJ 08205-4465
Phone (609) 964-7901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fam Rehabilitation LLC | Sports | Current | Accepting new patients |
Locations
4 E Jimmie Leeds Rd
Ste 10
Galloway, NJ 08205
Phone (609) 752-3576
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1891263828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13022 SUNRISE CREEK LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774987460",
"telephone_number": "917-599-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CHRISTINA",
"middle_name": "SHROM",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.