ALYSIA L GREEN (NPI# 1013124296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013124296 |
| Entity Type | Individual |
| Full Name | ALYSIA L GREEN |
| Credential | MD |
| Practice Address |
915 Commonwealth Ave Rear Boston MA 02215-1394 |
| Mailing Address |
801 Albany St Fl G Boston MA 02119-3791 |
| Practice Telephone | 6173583400 |
| Practice Fax Number | 6173583710 |
| Mailing Telephone | 6174146034 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
232853 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110076162A | 05 |
| Street Address |
915 COMMONWEALTH AVE REAR |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419568 | Trustees of Boston University | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2005-12-28 |
| 1528608049 | Emma Zeligson | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2020-01-13 |
| 1518509660 | Caroline Ko | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2019-10-10 |
| 1083264840 | Jaimie Girnis | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2019-09-13 |
| 1780233783 | Jenna Zajac | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2019-09-11 |
| 1306499454 | Emma Taylor | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2019-07-18 |
| 1376016907 | Andrea Christoforou | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2019-01-07 |
| 1336611342 | Stephanie A Archer | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2019-01-02 |
| 1942781059 | Timothy Nordahl | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2018-08-27 |
| 1376056440 | Margaret Delaney | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467983494 | Robert Dyer | Family Medicine | 915 Commonwealth Ave, Boston, MA 02215-1394 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619101052 | Miguel Angel Concepcion | Family Medicine | 250 Paradise Rd Unit 2203, Swampscott, MA 01907-2948 | 2009-05-13 |
| 1205839784 | Gail B Fayre | Family Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2005-05-27 |
| 1245612605 | Carla Marisa Basadre Quiroz | Family Medicine | 147 Pelham St, Methuen, MA 01844-2060 | 2015-06-22 |
| 1174961262 | Derek Lee | Family Medicine | 465 S Washington St, North Attleboro, MA 02760-2129 | 2013-06-11 |
| 1801129242 | The New England Center for Osteopathy, Pllc | Family Medicine | 2 South St, Suite 30, Pittsfield, MA 01201-6294 | 2009-09-17 |
| 1790946176 | Chad Beattie | Family Medicine | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2008-06-19 |
| 1700045663 | Jennifer B. Schwartz | Family Medicine | 1101 Beacon St, 4 East, Brookline, MA 02446-5587 | 2008-06-05 |
| 1457537433 | Navid Mahooti | Family Medicine | 104 Endicott St, Suite 104, Danvers, MA 01923-3623 | 2008-01-21 |
| 1033316153 | Carolyn Saluti | Family Medicine | 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605-2138 | 2007-07-02 |
| 1184723819 | Boutros Michel Ghassibi | Family Medicine | 34 Haverhill St, Lawrence, MA 01841-2884 | 2006-09-21 |
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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.