Jayson William Green, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT298713 Issued in CA

Practice address

23456 Hawthorne Blvd
#200
Torrance, CA 90505

Phone

(310) 742-8388

Fax

(310) 742-8388

NPI assigned

Nov 13, 2020

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Facey Medical FoundationGroup PAC ID 3173436276, shared by 2 NPIs, 324 clinicians

Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Marina del Rey, CA
  • NPI 1043894090

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sports and Spine Orthopaedics

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1811936743
  Medicare reassignment NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1275220246
  NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
  • NPI 1487238432

  Physical Therapist

  NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1386228302

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1972105039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD",
            "address_2": "#200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-742-8388",
            "fax_number": "310-742-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD",
            "address_2": "#200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-742-8388",
            "fax_number": "310-742-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAYSON",
        "middle_name": "WILLIAM",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Meadow Homes, Inc.
• Alan C Green, M.D.
• April Toneya Green
• Asha Kamaria Green, DDS
• Garth A Green
• Karen Green, MS, BCBA
• Rachel Julia Green, LCSW
• Sari Green, MD
• Tracey Green, LCSW
• Xochitl Green

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.

Verify at the official NPI Registry.