David Green, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1336675 Issued in TX

Practice address

19998 Saddlebrook Dr
Lindale, TX 75771-6382

Phone

(903) 882-6400

Fax

(903) 882-6404

NPI assigned

Jul 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1912484601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19998 SADDLEBROOK DR",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716382",
            "telephone_number": "903-882-6400",
            "fax_number": "903-882-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19998 SADDLEBROOK DR",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716382",
            "telephone_number": "903-882-6400",
            "fax_number": "903-882-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1336675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Joshua Gott, DMD
• Forrest Kendall Gott, DMD
• Karen Lytle Gott, D.D.S.
• Josie Gradick
• Naomi Renee Graham, RBT
• Julie Ann Green, OTR, MOT
• Morgan Green, LVN
• Kenneth Jerome Hamby, D.O.
• Claudia Hancock
• Donna M Hand, DO

• Physical Therapist in Lindale, TX
• Providers in Lindale, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.