Kathleen M Greene, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003876 Issued in CT

Practice address

121 Broadway St
Colchester, CT 06415-1052

Phone

(860) 537-6798

Fax

(860) 537-5926

NPI assigned

Jun 18, 2012

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

Practice roles

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.

• Killingly Medical Center LLC

  • Family Medicine Physician
  • Dayville, CT
  • NPI 1609306539
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1932462769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513042",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151052",
            "telephone_number": "860-537-6798",
            "fax_number": "860-537-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dona Gioco Hoff, LCSW
• Micaela Rae Gobeille, OD
• Jennifer Grandpre, DPT
• Grateful Guidance, LLC
• Rebecca A Green, DC, DACBSP
• Kelly Lauren Griffith, DDS
• Danielle M Grillo, APRN
• John Grimes, PT
• Robert Guarino, PHARMD, RPH
• Tamie Lee Hamilton, MSW

• Physical Therapist in Colchester, CT
• Providers in Colchester, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.