KATHLEEN O'NEILL GREENE (PT) – Geriatric Physical Therapist, NPI 1033729397

KATHLEEN O'NEILL GREENE (PT) is a healthcare provider. based in Woodstock, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT006568 (GA). The NPI Number for KATHLEEN O'NEILL GREENE (PT) is 1033729397

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN O'NEILL GREENE (PT)
NPI
1033729397
Phone
(423) 718-2690
Address
215 JEFFREY DR
Enumeration Date
3 August 2020
Last Update Date
3 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705851151
Graduation Year
1995 (31 years ago)
PAC ID
2860873064
Group Practice PAC ID
0446754451
Professional Enrollment ID
I20220719003393
Address ID
GA300098780AL100XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for KATHLEEN O'NEILL GREENE (PT)

  • 215 JEFFREY DR

    WOODSTOCK, GA 301882323

    Phone: (423) 718-2690

    Type: Mailing

  • 500 WALTON WAY

    ROSWELL, GA 300763418

    Phone: (470) 306-0652

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220719003393IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,42327$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98824$0
97162Evaluation for physical therapy, typically 30 minutes3224$0
View full utilization report →

Insurance plans in this area (ZIP 30188)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446754451View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What is the registry number for KATHLEEN O'NEILL GREENE (PT)?
The registry entry for KATHLEEN O'NEILL GREENE (PT) shows NPI 1033729397.
Does the public listing show KATHLEEN O'NEILL GREENE (PT) as active?
KATHLEEN O'NEILL GREENE (PT)'s NPI record reflects an active status in NPPES.
What type of care does KATHLEEN O'NEILL GREENE (PT) provide?
KATHLEEN O'NEILL GREENE (PT)'s profile centers on Geriatric Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KATHLEEN O'NEILL GREENE (PT)?
The directory associates KATHLEEN O'NEILL GREENE (PT) with Woodstock, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for KATHLEEN O'NEILL GREENE (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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