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EBONY L GREEN
NPI 1578411500
Massage Therapist in Jacksonville, NC

Active since March 17, 2026
620 OLD 30 RD APT 3, JACKSONVILLE, NC 28546(910) 382-5112 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebony L Green NPPES

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

EBONY L GREEN (NPI 1578411500) is an individual massage therapist in Jacksonville, North Carolina, licensed in North Carolina (21539) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1578411500
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameEBONY L GREEN
Location Address620 OLD 30 RD APT 3Jacksonville, NC 28546-9751
Mailing Address620 Old 30 Rd Apt 3Jacksonville, NC 28546-9751 · (910) 382-5112
Phone(910) 382-5112
Sole ProprietorYes
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1578411500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NC · 21539
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
620 OLD 30 RD APT 3, Jacksonville, NC 28546
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ebony Green's NPI number?

The NPI number for Ebony Green is 1578411500. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Ebony Green located?

Ebony Green practices at 620 Old 30 Rd Apt 3, Jacksonville, NC 28546. The listed phone number is (910) 382-5112.

What is Ebony Green's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ebony Green was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.