KELLY GREEN PT
NPI 1104403195
Physical Therapist in Goodyear, AZ

Active since March 25, 2021Accepts Medicare Assignment
1626 N LITCHFIELD RD STE 310, GOODYEAR, AZ 85395(623) 680-0036 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Green Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY GREEN PT (NPI 1104403195) is an individual physical therapist in Goodyear, Arizona, licensed in Arizona (31672) and active in the NPI registry since March 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1104403195
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY GREENCredential: PT
Location Address1626 N LITCHFIELD RD STE 310Goodyear, AZ 85395-1397
Mailing Address7602 N 185th AveWaddell, AZ 85355-9815 · (623) 680-0036
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1104403195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AZ · 31672
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1626 N LITCHFIELD RD STE 310, Goodyear, AZ 85395

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Green Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385043876
PECOS Enrollment IDI20210603002248

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Clinic/Center (Physical Therapy)
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395
Physical Therapist
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Green's NPI number?

The NPI number for Kelly Green is 1104403195. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Kelly Green located?

Kelly Green practices at 1626 N Litchfield Rd Ste 310, Goodyear, AZ 85395. The listed phone number is (623) 680-0036.

What is Kelly Green's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Green enrolled in Medicare?

Yes. Kelly Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.