KELLY M GREEN (NPI# 1912215229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912215229 |
| Entity Type | Individual |
| Full Name | KELLY M GREEN |
| Credential | OTR/L |
| Practice Address |
105 Windsor Path Suite 5 Georgetown KY 40324-9818 |
| Mailing Address |
1795 Alysheba Way Suite 3202 Lexington KY 40509-2280 |
| Practice Telephone | 5023704240 |
| Practice Fax Number | 5023704242 |
| Mailing Telephone | 8592648868 |
| Mailing Fax Number | 8592648878 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2016-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | R4593 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533728 | Kelly M Green | Dietitian, Registered | 12201 Stanfield Ct, Bowie, MD 20720-4439 | 2020-06-18 |
| 1093295263 | Kelly Green | Psychologist | 3535 Market St Ste 3037, Philadelphia, PA 19104-3313 | 2018-08-17 |
| 1558802975 | Kelly Green | Counselor | 15336 Devonshire St Unit 6, Mission Hills, CA 91345-2755 | 2017-03-18 |
| 1255887386 | Kelly Green | Physician Assistant | 1237 Shirehall Park Ln, Wake Forest, NC 27587-0601 | 2016-08-29 |
| 1730589565 | Kelly Green | Physical Therapist | 3014 Boaires Ln, Louisville, KY 40220-2428 | 2014-08-29 |
| 1467685107 | Kelly Elizabeth Green | Psychologist | 5524 Bee Caves Road, Suite G-2, Austin, TX 78746 | 2009-08-28 |
| 1437249547 | Kelly Ray Green | Pediatrics | 19087b Greeno Rd, Fairhope, AL 36532-3899 | 2006-10-13 |
| 1801803572 | Kelly Elaine Green | Social Worker | 1604 S W S Young Dr, Killeen, TX 76543-5003 | 2006-08-02 |
| 1649230947 | Kelly Patrick Green | Optometrist | 7437 Burnet Rd, Austin, TX 78757-2244 | 2006-03-23 |
| 1346804721 | Kelly R Green | Case Manager/Care Coordinator | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2019-05-01 |
| Street Address |
105 WINDSOR PATH SUITE 5 |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-9818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518290006 | Robert G Huellemeier | Physical Therapist | 105 Windsor Path, Suite 5, Georgetown, KY 40324-9617 | 2009-09-15 |
| 1487260154 | Angie Michele Blanton | Behavioral Analyst | 105 Windsor Path, Georgetown, KY 40324-9818 | 2020-09-18 |
| 1477986883 | Drayer Physical Therapy Kentucky LLC | Physical Therapist | 105 Windsor Path, Suite 5, Georgetown, KY 40324-9617 | 2013-08-21 |
| 1972949139 | Connie R Pierson | Speech-Language Pathologist | 105 Windsor Path, Suite 3, Georgetown, KY 40324-9617 | 2013-05-15 |
| 1912256827 | Hop Skip and A Jump LLC | Occupational Therapist | 105 Windsor Path, Suite 1, Georgetown, KY 40324-9617 | 2012-09-06 |
| 1598034951 | Brtql8 Inc | Physical Therapist | 105 Windsor Path, Suite 3, Georgetown, KY 40324-9617 | 2011-12-14 |
| 1063781417 | Susan C Thomas | Speech-Language Pathologist | 105 Windsor Path, Suite 3, Georgetown, KY 40324-9617 | 2011-12-14 |
| 1063796969 | Drayer Physical Therapy Institute of Kentucky Pllc | Physical Therapist | 105 Windsor Path, Ste 5, Georgetown, KY 40324-9617 | 2011-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094942 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 10 Georgetown Plz, Georgetown, DE 19947-2300 | 2020-05-10 |
| 1235795949 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 106 Osbourne Way, Georgetown, KY 40324-9636 | 2019-05-17 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1851873384 | Leah Marie Benedetti | Occupational Therapist | 2323 Wolf Ranch Pkwy Apt 538, Georgetown, TX 78628-2070 | 2018-08-31 |
| 1710432505 | Megan Gaydosh | Occupational Therapist | 407 Church St Unit E, Georgetown, SC 29440-3792 | 2016-08-22 |
| 1194183483 | Mary Caitlin Brown | Occupational Therapist | 126 Sunningdale Dr, Georgetown, KY 40324-8889 | 2016-02-02 |
| 1689047631 | Meenu Dhiman | Occupational Therapist | 6162 Park St, Georgetown, IN 47122-9284 | 2015-11-12 |
| 1164833257 | Jason Hall | Occupational Therapist | 129 Fairfield Ct, Georgetown, TX 78633-4655 | 2014-05-12 |
| 1255675716 | Ashley Olszewski | Occupational Therapist | 12 Parish Rd, Georgetown, MA 01833-1226 | 2012-11-21 |
| 1497010029 | Martha A. House | Occupational Therapist | 805 Independence Creek Ln, Georgetown, TX 78633-5401 | 2012-07-10 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
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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.