Traci Duncan Green, MPT
NPI 1316254477ActiveIndividual· Physical Therapist· Valparaiso, FL
Physical Therapist (MPT) with Action Therapy Group LLC, practicing in Valparaiso, Florida. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1316254477 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Sep 9, 2010 |
| Last updated in NPPES | Nov 2, 2021 |
| Certified by provider | Nov 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT16099 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Action Therapy Group LLCJacksonville, FL · 71 clinicians
Other Physical Therapist providers in Valparaiso
- 1679236806
- 1912064098