Active NPI
David Green, MPT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1902169758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22267
- Practice address
- 1120 St. Paul St.
Ground Level
Baltimore, MD 21202 - Phone
- (410) 685-7790
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22267 | MD | Primary |
Addresses
Primary practice location
1120 St. Paul St.
Ground Level
Baltimore, MD 21202
Mailing address
5834 East Ave
Baltimore, MD 21206-1413
Phone (410) 491-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22267 | MD | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Rehab of Maryland | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Physician
- Baltimore, MD
- NPI 1043418494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1902169758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5834 EAST AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212061413",
"telephone_number": "410-491-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 ST. PAUL ST.",
"address_2": "GROUND LEVEL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "410-685-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.