Green Physical Therapy, Inc.
NPI 1649779919ActiveOrganization· Physical Therapist· Moreno Valley, CA
Physical Therapist in Moreno Valley, California, registered in NPPES in February 2018. The authorized official on file is Glyniss Claudette Green, PT, DPT, OCS, Ceo / Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1649779919 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2018 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapist, Orthopedic | 2251X0800X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
Other Physical Therapist providers in Moreno Valley
- 1013942598
- 1871320960
- 1144032624
- 1225416803
- 1184951279
- 1154230209
- 1659357135
- 1285602946
- 1336005511
- 1922848241
- 1174954648
- 1104601715