MR. PATRICK JERMAAL GREENE (NPI# 1154467298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154467298 |
| Entity Type | Individual |
| Full Name | MR. PATRICK JERMAAL GREENE |
| Credential | OTR-L |
| Practice Address |
3029 Senna Dr Matthews NC 28105-6727 |
| Mailing Address |
125 Gayoso Ave Apt 504 Memphis TN 38103-2918 |
| Practice Telephone | 7048412115 |
| Practice Fax Number | 7048412402 |
| Mailing Telephone | 9016067880 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 120146 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | OT4021 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255875928 | Patrick Kyle Greene | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-12-14 |
| 1972877520 | Patrick Greene | Behavioral Analyst | 299 W Hillcrest Dr Ste 110, Thousand Oaks, CA 91360-7824 | 2012-02-29 |
| 1588934053 | Patrick Greene | Counselor | 1370 Niagara Falls Blvd, Tonawanda, NY 14150-8431 | 2011-12-30 |
| Street Address |
3029 SENNA DR |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407010259 | Kathy L Hoyle | Occupational Therapy Assistant | 3029 Senna Dr, 514 Old Hwy 27 Stanley Nc 28164, Matthews, NC 28105-9412 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1740841972 | Jennifer Louise Lowder | Occupational Therapist | 3653 Huntington Drive, Matthews, NC 28104 | 2019-06-27 |
| 1619448057 | Alix Stewart | Occupational Therapist | 211 W Matthews St Ste 106, Matthews, NC 28105-1310 | 2018-12-11 |
| 1073977583 | Celeste Roberts | Occupational Therapist | 10505 Paces Ave Apt 1611, Matthews, NC 28105-3054 | 2016-04-11 |
| 1417232661 | Mattie Ablitz | Occupational Therapist | 9216 Hunting Ct, Matthews, NC 28105-6598 | 2011-10-19 |
| 1770861205 | Kaitlin Bennett Guyer | Occupational Therapist | 810 Matthews Commons Dr Apt 13, Matthews, NC 28105-6129 | 2011-08-02 |
| 1811281546 | Tracey M Backus | Occupational Therapist | 10043 Idlewild Rd, Matthews, NC 28105-2013 | 2011-05-28 |
| 1770745408 | Katie Vandenberge | Occupational Therapist | 114 Savannah Dr, Matthews, NC 28105-6527 | 2008-06-25 |
| 1467577742 | Megan Mcdermond Shein | Occupational Therapist | 701 Plantation Estates Dr, Matthews, NC 28105-6550 | 2007-03-19 |
| 1760526644 | Dawn Takada | Occupational Therapist | 1008 Minden Dr, Matthews, NC 28104-6885 | 2007-02-16 |
| 1891869236 | Early Bird Developmental Services, LLC | Occupational Therapist | 212 W Matthews St, Suite 105, Matthews, NC 28105-5441 | 2006-11-18 |
| Find all providers in MATTHEWS | ||||
Please comment or provide details below to improve the information on MR. PATRICK JERMAAL GREENE.
| 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.