SUSAN MICHELE GREEN (NPI# 1215447883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215447883 |
Entity Type | Individual |
Full Name | SUSAN MICHELE GREEN |
Credential | DPT |
Practice Address |
1825 Fortview Rd Ste 109 Austin TX 78704-7655 |
Mailing Address |
2903 Great Oaks Dr San Marcos TX 78666-1008 |
Practice Telephone | 5128928250 |
Mailing Telephone | 5123931906 |
Enumeration Date | 2017-10-09 |
Last Update Date | 2017-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1293407 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134407091 | Susan Joy Green | Occupational Therapy Assistant | 22714 County Road 26, Arlington, NE 68002-5042 | 2011-07-26 |
1902128705 | Susan K Green | Pharmacist | 911 Rainbow Drive, Gadsden City Pharmacy, Gadsden, AL 35901-1513 | 2010-02-19 |
1902024227 | Susan Jean Green | Student in an Organized Health Care Education/Training Program | 10 1st Ave E, Glen Burnie, MD 21061-2073 | 2007-04-23 |
1447324033 | Susan Blake Green | Counselor | 2500 Lincoln Dr, Abilene, TX 79601-2023 | 2006-11-17 |
1689697385 | Susan K Green | Chiropractor | 2001 N Rand Road, Palatine, IL 60074-2573 | 2006-07-25 |
1063045128 | Susan Green | Physical Therapist | 5615 Deauville Ste 120, Midland, TX 79706-2708 | 2020-02-18 |
1063062883 | Susan M Green | Registered Nurse | 155 Densmore Rd, Rochester, NY 14609-1850 | 2019-09-13 |
1790190759 | Susan Green | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-27 |
1376888453 | Susan Hopkins Green | Physical Therapist | 1919 112th St Sw, Everett, WA 98204-3784 | 2012-11-30 |
1912260605 | Susan Lynn Green | Speech-Language Pathologist | 695 E Main St, Gallatin, TN 37066-2472 | 2012-06-19 |
Street Address |
1825 FORTVIEW RD STE 109 |
City | AUSTIN |
State | TX |
Zip Code | 78704-7655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972899003 | Deborah Jane Landreth | Physical Therapist | 1825 Fortview Rd Ste 109, Austin, TX 78704-7655 | 2011-06-27 |
1780236729 | Michele Alderson | Physical Therapist | 1825 Fortview Rd Ste 109, Austin, TX 78704-7655 | 2019-07-10 |
1366943508 | Sarah Beth Nolen | Physical Therapist | 1825 Fortview Rd Ste 109, Austin, TX 78704-7655 | 2018-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
Find all providers in zip 78704 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215591631 | Revolution Human Physical Therapy and Education LLC | Physical Therapist | 3310 W Braker Ln Ste 300-918, Austin, TX 78758-7853 | 2019-05-01 |
1407328024 | Whitney Nicole Rodgers | Physical Therapist | 12411 Hymeadow Drive Building 3, Suite 3b, Austin, TX 78750-1874 | 2018-12-20 |
1487135406 | Aakruti Raikar | Physical Therapist | 8501 Evelina Trl, Austin, TX 78737-8540 | 2018-08-27 |
1912410978 | Lindsay Marie Graham | Physical Therapist | 12212 Tawny Farms Rd, Austin, TX 78748-1337 | 2017-11-13 |
1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
1114472743 | Courtney Paige Rivadeneira | Physical Therapist | 7718 Wood Hollow Dr Ste 105, Austin, TX 78731-1601 | 2016-08-24 |
1497167035 | Jessica Warnecke | Physical Therapist | 906 Brentwood St, Austin, TX 78757-3033 | 2014-06-02 |
1093134454 | Adam Warren | Physical Therapist | 711 W 38th St Ste B3, Austin, TX 78705-1125 | 2014-04-14 |
1649603192 | Rudie Spigarelli | Physical Therapist | 8306 Los Ranchos Dr, Austin, TX 78749-3901 | 2013-08-19 |
1679818108 | Jade Elyse Metcalf | Physical Therapist | 9430 Research Blvd Ste 2-350, Austin, TX 78759-6586 | 2012-12-10 |
Find all providers in AUSTIN |
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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.