MS. LISA DIANE GREEN (NPI# 1528193240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528193240 |
| Entity Type | Individual |
| Full Name | MS. LISA DIANE GREEN |
| Credential | MOMT, MPT, ATC |
| Practice Address |
150 Portola Rd Ste. B Portola Valley CA 94028-7852 |
| Practice Telephone | 6508511145 |
| Practice Fax Number | 6508519251 |
| Mailing Telephone | 6508511145 |
| Mailing Fax Number | 6508519251 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT18800 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869529 | Lisa A Green | Nurse Practitioner | 50 Township Line Rd Bldg Suiteg01, Elkins Park, PA 19027-2249 | 2018-01-25 |
| 1316966047 | Lisa S. Green | Optometrist | 1180 N Court St Ste F, Circleville, OH 43113-1397 | 2006-07-19 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1558349654 | Lisa Ann Green | Chiropractor | 1304 N University Dr, Coral Springs, FL 33071-6623 | 2006-01-09 |
| 1326678723 | Lisa Green | Case Management | 700 Cottage Brook Ln, Webster, NY 14580-8654 | 2020-01-24 |
| 1033779467 | Lisa H Green | Registered Nurse | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2019-06-18 |
| 1558830596 | Lisa Green | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-20 |
| 1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
| 1306355797 | Lisa Diane Green | Nurse Practitioner | 650 W Lincoln Trail Blvd, Radcliff, KY 40160-2681 | 2017-09-28 |
| 1043739485 | Lisa Kay Green | Case Manager/Care Coordinator | 110 N Bailey Ave, North Platte, NE 69101-5436 | 2017-09-18 |
| Street Address |
150 PORTOLA RD STE. B |
| City | PORTOLA VALLEY |
| State | CA |
| Zip Code | 94028-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053394445 | Amy Lynn Babcock | Physical Therapist | 150 Portola Rd, Portola Valley, CA 94028-7852 | 2005-11-21 |
| 1407308224 | Jarrod W Maslin | Physical Therapist | 150 Portola Rd, Suite B, Portola Valley, CA 94028-7852 | 2016-10-27 |
| 1508315300 | Pacific Therx | Clinic/Center | 150 Portola Rd, Suite B, Portola Valley, CA 94028-7852 | 2016-09-22 |
| 1306139209 | Gregory Ohanessian | Physical Therapist | 150 Portola Rd, Portola Valley, CA 94028-7852 | 2011-05-25 |
| 1336474899 | Andrew Hok-cay Fung | Physical Therapist | 150 Portola Rd, Suite B, Portola Valley, CA 94028-7852 | 2009-10-16 |
| 1154567121 | Crista Osio | Physical Therapist | 150 Portola Rd, Suite B, Portola Valley, CA 94028-7852 | 2008-12-22 |
| 1215153507 | Pacific Therx, Inc. | Specialist | 150 Portola Rd, Suite B, Portola Valley, CA 94028-7852 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922512979 | Rochelle Marie Perucca | Counselor | 501 Portola Rd. #8046, Portola Valley, CA 94028 | 2017-11-29 |
| 1285854299 | Thomas James Fogarty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3270 Alpine Road, Portola Valley, CA 94028 | 2007-05-01 |
| 1790806131 | Ning Tang | Internal Medicine | 3250 Alpine Road, Stanford Primary Care, Portola Valley, CA 94028 | 2007-04-03 |
| 1174652622 | Catherine Sonquist Forest | Family Medicine | 3240 Alpine Rd, Stanford Community Primary Care, Portola Valley, CA 94028 | 2007-03-02 |
| 1083767701 | Matthew S Plume | Physical Therapist | 150 Portola Road, Suite B, San Francisco, CA 94028 | 2007-01-18 |
| 1417045279 | Ellen Marie Hoffman | Chiropractor | 884 Portola Road, A5, Portola Valley, CA 94028 | 2006-10-10 |
| 1376986810 | Alice Chung | Family Medicine | 3250 Alpine Road, Portola Valley, CA 94028 | 2013-04-15 |
| 1144364233 | Lucy Stuart Tompkins | Internal Medicine | 300 Pasteur Drive, Stanford University Medical Center S169, Stanford, CA 94028 | 2007-02-20 |
| 1285786202 | Susan Eileen Light | Psychologist | 1187 University Dr, Menlo Park, CA 94028 | 2007-01-18 |
| 1184991275 | Diane J Schiano | Counselor | 2673 Alpine Rd, Portola Valley, CA 94028-6365 | 2011-11-17 |
| Find all providers in zip 94028 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487154035 | Robert Duard Calhoun | Physical Therapist | 150 Portola Rd Ste B, Portola Valley, CA 94028-7852 | 2018-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PORTOLA VALLEY |
| Zip Code | 94028 |
Please comment or provide details below to improve the information on MS. LISA DIANE 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.