BRODY MITCHELL GREEN (NPI# 1154889129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154889129 |
| Entity Type | Individual |
| Full Name | BRODY MITCHELL GREEN |
| Credential | LPTA |
| Practice Address |
4580 Towne Lake Pkwy Woodstock GA 30189 |
| Mailing Address |
1824 Defoor Ave Nw Apt 2215 Atlanta GA 30318-3029 |
| Practice Telephone | 6787716459 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA004106 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4580 TOWNE LAKE PKWY |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477824639 | Devon Rogers | Occupational Therapist | 4580 Towne Lake Pkwy, Woodstock, GA 30189-5521 | 2012-01-19 |
| 1164063855 | Laura Ainley | Physical Therapy Assistant | 4580 Towne Lake Pkwy, Woodstock, GA 30189-5521 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1467072769 | Jason Cardillo | Physical Therapy Assistant | 906 Grier St, Woodstock, GA 30189-7811 | 2020-04-16 |
| 1649755612 | Melissa Rowles | Physical Therapy Assistant | 123 Lakeview Dr, Woodstock, VA 22664-1563 | 2018-09-26 |
| 1952813768 | Meredith Miller Stimson | Physical Therapy Assistant | 123 Lakeview Dr., Woodstock, VA 22664 | 2017-11-02 |
| 1912303264 | William Shealy | Physical Therapy Assistant | 654 Wedgewood Dr, Woodstock, GA 30189-1505 | 2014-11-14 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1447558788 | Donald Caldwell | Physical Therapy Assistant | 602 Revillion Way, Woodstock, GA 30188-7090 | 2011-03-10 |
| 1164063855 | Laura Ainley | Physical Therapy Assistant | 4580 Towne Lake Pkwy, Woodstock, GA 30189-5521 | 2019-10-03 |
| 1598329112 | Joseph M Keller | Physical Therapy Assistant | 105 Arnold Mill Rd, Woodstock, GA 30188-5027 | 2019-04-29 |
| 1073074142 | Kyle Hutson Benoit | Physical Therapy Assistant | 803 S Main St, Woodstock, VA 22664-1125 | 2019-03-29 |
| 1497212914 | Shannon Kosmatka | Physical Therapy Assistant | 2406 Hartland Rd, Woodstock, IL 60098-9763 | 2019-02-21 |
| Find all providers in WOODSTOCK | ||||
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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.