MR. PRESTON GREEN II (NPI# 1073907374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907374 |
| Entity Type | Individual |
| Full Name | MR. PRESTON GREEN II |
| Credential | C.O.T.A. |
| Practice Address |
5900 Forest Hills Dr Ne Albuquerque NM 87109-4129 |
| Mailing Address |
413 Vista Roja Pl Ne Rio Rancho NM 87124-1876 |
| Practice Telephone | 5058226000 |
| Mailing Telephone | 5059030805 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3086 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467937326 | Preston Green | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-09-26 |
| 1629003538 | Preston T Green | Internal Medicine | 350 Nw 76th Dr, Suite B, Gainesville, FL 32607-1593 | 2006-07-11 |
| Street Address |
5900 FOREST HILLS DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457571853 | Anthony Vincent Staiano | Speech-Language Pathologist | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2007-04-26 |
| 1467095471 | Jaime R Lucero | Nurse Practitioner | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2019-10-22 |
| 1760871552 | Paul Murtagh | Physical Therapy Assistant | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2015-01-15 |
| 1033508247 | Eileen Schmandt | Physical Therapist | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2015-01-12 |
| 1235528449 | Sara Palacios | Occupational Therapy Assistant | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2015-01-12 |
| 1508047267 | Your Healthcare LLC, A Family Clinic | Clinic/Center | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2007-11-21 |
| 1699967760 | The Rehabilitation Center of Albuquerque, LLC | Skilled Nursing Facility | 5900 Forest Hills Dr Ne, Albuquerque, NM 87109-4129 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1336633585 | Julian Cisneros | Occupational Therapy Assistant | 5801 Eubank Blvd Ne Apt 9, Albuquerque, NM 87111-6180 | 2018-06-20 |
| 1699219691 | Jessica Miranda | Occupational Therapy Assistant | 11100 Gibson Blvd Se Unit D75, Albuquerque, NM 87123-3407 | 2016-12-09 |
| 1659813061 | Violet Bustillos | Occupational Therapy Assistant | 909 Kinley Ave Nw, Albuquerque, NM 87104-2181 | 2016-11-16 |
| 1194173088 | Salim M Syed | Occupational Therapy Assistant | 5928 Ermemin Ave Nw, Albuquerque, NM 87114-5993 | 2016-06-01 |
| 1851763080 | Trisha Poorbaugh | Occupational Therapy Assistant | 1313 Alcazar St Ne, Albuquerque, NM 87110-7109 | 2015-10-27 |
| 1275904773 | Joanie Pearson | Occupational Therapy Assistant | 645 Grace St Ne, Albuquerque, NM 87123-1318 | 2015-10-09 |
| 1346639770 | Anthony Gustamantes | Occupational Therapy Assistant | 10508 Easy Pl Nw, Albuquerque, NM 87114-5088 | 2015-01-22 |
| 1285023606 | Kathy Welch | Occupational Therapy Assistant | 2841 Manzano St Ne, Albuquerque, NM 87110-3025 | 2015-01-22 |
| 1952790966 | Misty Jo Munoz | Occupational Therapy Assistant | 5800 Night Rose Ave Nw, Albuquerque, NM 87114-3591 | 2015-01-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.