| Jesse Green, PT, DPT, LMT, CSCS | |
|
4 W 101st St Apt 65, New York, NY 10025-4716 | |
| (212) 604-1316 | |
| Not Available |
| Full Name | Jesse Green |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4 W 101st St Apt 65, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447791397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 041313-1 (New York) | Primary |
| 225100000X | Physical Therapist | 041313 (New York) | Secondary |
| Provider Name | Outreach Physical & Occupational Therapy & Speech Rehabilitation, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841526399 PECOS PAC ID: 2365582665 Enrollment ID: O20091217000370 |
| Provider Name | Maiden Lane Medical Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497291074 PECOS PAC ID: 2365728698 Enrollment ID: O20170420001654 |
| Provider Name | Jc Green Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1508564550 PECOS PAC ID: 2264893924 Enrollment ID: O20230728001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Green, PT, DPT, LMT, CSCS 4 W 101st St Apt 65, New York, NY 10025-4716 Ph: (917) 648-1949 | Jesse Green, PT, DPT, LMT, CSCS 4 W 101st St Apt 65, New York, NY 10025-4716 Ph: (212) 604-1316 |
Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323 | |
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770 | |
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492 | |
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494 | |
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360 | |
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144 | |
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095 |