DR. REVENDA GREENE (NPI# 1124549407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124549407 |
| Entity Type | Individual |
| Full Name | DR. REVENDA GREENE |
| Credential | PT |
| Practice Address |
1208 Canvasback Ct Upper Marlboro MD 20774-7003 |
| Practice Telephone | (301) 266-9758 |
| Mailing Telephone | 3012669758 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2024 | DC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 16414 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1208 CANVASBACK CT |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214490 | Aamg Physical Therapy, LLC | Physical Therapist | 7611 Crain Hwy # C170, Upper Marlboro, MD 20772-4258 | 2020-08-10 |
| 1760092944 | Go Stretch | Physical Therapist | 10300 Spring Water Ln, Upper Marlboro, MD 20772-6667 | 2020-08-03 |
| 1265059489 | Quality Touch Physical Therapy & Wellness, LLC | Physical Therapist | 4520 Charborne Ln, Upper Marlboro, MD 20772-7567 | 2020-07-03 |
| 1063064368 | Juanita Pughsley | Physical Therapist | 10809 Kingsmere Ct, Upper Marlboro, MD 20774-2117 | 2019-07-16 |
| 1346781028 | Neha Desai | Physical Therapist | 10666 Campus Way S, Upper Marlboro, MD 20774-1307 | 2017-03-15 |
| 1841650660 | Udim Isang | Physical Therapist | 10801 Furgang Rd, Upper Marlboro, MD 20772-8145 | 2016-03-07 |
| 1306211891 | Ciarrah Oliver | Physical Therapist | 6623 Woodyard Rd, Upper Marlboro, MD 20772-3846 | 2015-12-09 |
| 1962891960 | Daniel Montue | Physical Therapist | 9730 Natalie Dr, Upper Marlboro, MD 20772-4340 | 2015-01-13 |
| 1598031593 | Priscilla R Jones | Physical Therapist | 815 Falcon Dr, Upper Marlboro, MD 20774-5738 | 2012-03-24 |
| 1518280874 | Oluwakemi Omotola Ibidun | Physical Therapist | 3506 Eton Dr, Upper Marlboro, MD 20772-6805 | 2010-03-01 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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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.