Owen Green, PT, DPT, LAT, ATC
NPI 1487518619ActiveIndividual· Physical Therapist· King Of Prussia, PA
Physical Therapist (PT, DPT, LAT, ATC) with Integrated Physical Therapy, LLC, practicing in King Of Prussia, Pennsylvania. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1487518619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LAT, ATC |
| Sole proprietor | No |
| NPI issued | Dec 11, 2025 |
| Last updated in NPPES | Dec 11, 2025 |
| Certified by provider | Dec 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT033865 | PA |
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 (PA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Integrated Physical Therapy, LLCKng Of Prussa, PA · 17 clinicians
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