National Provider Identifier
Patrick E Green, MS PT CERT MDT
Patrick E Green, MS PT CERT MDT is listed in the NPPES registry with a primary specialty of Physical Therapist in Jamestown, NY and a listed phone number of (716) 488-2322.
Profile Overview
- NPI
- 1255375143
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 15, 2006
- Last Updated
- October 06, 2022
Practice Location
- 15 South Main Street
- Suite 220
- Jamestown, NY 14701
Phone: (716) 488-2322
Mailing Address
- 5472 Scandia Drive
- Bemus Point, NY 14712
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1255375143
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Patrick
- Middle Name
- E
- Name Prefix
- Mr.
- Credential
- MS PT CERT MDT
- Mailing Street Address
- 5472 Scandia Drive
- Mailing City
- Bemus Point
- Mailing State
- NY
- Mailing ZIP Code
- 14712
- Mailing Country
- US
- Mailing Phone
- (716) 488-2322
- Mailing Fax
- (716) 488-2572
- Practice Street Address
- 15 South Main Street
- Practice Address Line 2
- Suite 220
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701
- Practice Country
- US
- Practice Phone
- (716) 488-2322
- Practice Fax
- (716) 488-2574
- Enumeration Date
- June 15, 2006
- Last Updated
- October 06, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)