Active NPI
Yael Green, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1922489202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42620
- Practice address
- 4785 51St St
San Diego, CA 92115-2026 - Phone
- (310) 388-7129
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- 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 | 42620 | CA | Primary |
Addresses
Primary practice location
4785 51St St
San Diego, CA 92115-2026
Mailing address
1045 N Kings Rd Apt 103
None
West Hollywood, CA 90069
Phone (310) 388-7129
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 |
|---|---|---|---|
| 42620 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete P T Pool and Land Physical Therapy Inc | 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.
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1639331770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1922489202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 N KINGS RD APT 103",
"address_2": "NONE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "90069",
"telephone_number": "310-388-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4785 51ST ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921152026",
"telephone_number": "310-388-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "YAEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2025-04-10",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.