Kathleen O'Neill Greene, PT
Physical Therapist, Geriatrics in Roswell, GA. Individual provider (NPI-1).
NPI number1033729397
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1033729397
- Entity type
- Individual (NPI-1)
- Name
- Kathleen O'Neill Greene
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251G0304X | Physical Therapist, Geriatrics | PT006568 | GA | Yes |
Practice location
500 Walton WayRoswell, GA 30076-3418
Phone 470-306-0652
Mailing address
215 Jeffrey DrWoodstock, GA 30188-2323
Phone 423-718-2690
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