MRS. KRISTEN M GREEN (NPI# 1093891145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093891145 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN M GREEN |
| Credential | PA, RPT |
| Practice Address |
102 Marble River Rd Chateaugay NY 12920-3600 |
| Practice Telephone | 5183536120 |
| Mailing Telephone | 5183536120 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 007860-1 | NY | Other Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
007860-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
005277 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518459171 | Kristen Green | Behavior Technician | 604 W Moana Ln, Reno, NV 89509-4903 | 2018-05-30 |
| 1295259653 | Kristen M Green | Specialist | 2058 Maple Ave Apt Al2-6, Hatfield, PA 19440-1517 | 2017-07-27 |
| 1104128057 | Kristen Green | Speech-Language Pathologist | 512 Arbutus Dr E, Roanoke Rapids, NC 27870-2272 | 2010-11-29 |
| 1356525018 | Kristen W Green | Psychologist | 430 Prior Street Ne, Gainesville, GA 30501 | 2007-12-18 |
| 1720116387 | Kristen Hillary Green | Optometrist | 7025 Park Centre Dr, Salt Lake City, UT 84121-6619 | 2007-03-02 |
| 1013524008 | Kristen Green | Behavioral Analyst | 6849 Peachtree Dunwoody Rd Bldg A1, Atlanta, GA 30328-6769 | 2020-09-24 |
| 1063049336 | Kristen Nina Grace Green | Student in an Organized Health Care Education/Training Program | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-03-25 |
| 1235624941 | Kristen Green | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2018-06-25 |
| 1043704828 | Kristen Green | Dentist | 242 W Clinton St, Gray, GA 31032-5430 | 2018-06-15 |
| 1225525108 | Kristen Jessica Green | Occupational Therapy Assistant | 3500 N Rock Rd Ste 101, Wichita, KS 67226-1341 | 2018-04-17 |
| Street Address |
102 MARBLE RIVER RD |
| City | CHATEAUGAY |
| State | NY |
| Zip Code | 12920-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952959561 | Patricia R Cook | Technician | 474 Mahoney Road, Chateaugay, NY 12920 | 2019-08-27 |
| 1164421160 | Michelle Ann Holbrook | Chiropractor | 160 East Main Street, Chateaugay, NY 12920 | 2005-07-20 |
| 1043376775 | Chateaugay Central School | Local Education Agency (LEA) | 42 River Street, Chateaugay, NY 12920-0904 | 2006-12-28 |
| 1790285906 | Angelica Lynn Harrigan | Developmental Therapist | 142 Reynolds Rd, Chateaugay, NY 12920-1760 | 2018-02-14 |
| 1427517721 | Chelsea Amanda Mcdonald | Occupational Therapy Assistant | 20 Mc Donald Rd, Chateaugay, NY 12920-1767 | 2019-03-16 |
| 1982175568 | Jessica Lynn Vanderwalker | Occupational Therapist | 42 River St, Chateaugay, NY 12920-2002 | 2018-12-07 |
| 1144656653 | Kaitlin Grace Tebo | Speech-Language Pathologist | 42 River St, Chateaugay, NY 12920-2002 | 2013-09-17 |
| 1922357094 | Mary Lou Robideau | Licensed Practical Nurse | 42 River St, Chateaugay, NY 12920-2002 | 2012-09-05 |
| 1396011987 | Mary Rounds | Licensed Practical Nurse | 42 River St, Chateaugay, NY 12920-2002 | 2012-03-28 |
| 1972879559 | Lorraine Kourofsky | Registered Nurse | 42 River St, Pob 904, Chateaugay, NY 12920-2002 | 2012-03-28 |
| Find all providers in zip 12920 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
| 1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
| 1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
| 1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
| 1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
| 1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
| 1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
| City | CHATEAUGAY |
| Zip Code | 12920 |
Please comment or provide details below to improve the information on MRS. KRISTEN M GREEN.
| 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.