Kelly Green, PT
NPI 1104403195 · Physical Therapist · Goodyear, AZ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Green, PT is a Physical Therapist provider in Goodyear, AZ (NPI 1104403195).
Provider details
- NPI number
- 1104403195
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 31672 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Frequently asked questions
- What is Kelly Green's NPI number?
- Kelly Green's National Provider Identifier (NPI) is 1104403195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Green's specialty?
- Kelly Green is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Green located?
- Kelly Green's practice location on file with NPPES is 1626 N Litchfield Rd Ste 310, Goodyear, AZ 85395-1397.
- What is Kelly Green's phone number?
- The practice phone number listed in the NPPES registry for Kelly Green is (623) 680-0036.
- Does Kelly Green accept Medicare?
- Kelly Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Green's NPI active?
- Yes — Kelly Green's NPI (1104403195) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.