MICHELLE SUZANNE GREENE (PT) – Physical Therapist, NPI 1114149978

MICHELLE SUZANNE GREENE (PT) is a healthcare provider. based in Bartlesville, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 03294 (IA). The NPI Number for MICHELLE SUZANNE GREENE (PT) is 1114149978

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE SUZANNE GREENE (PT)
NPI
1114149978
Phone
(918) 331-9922
Address
4100 SE ADAMS RD
Enumeration Date
2 May 2007
Last Update Date
10 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183319922
Graduation Year
1996 (30 years ago)
PAC ID
0345303491
Group Practice PAC ID
1254325459
Professional Enrollment ID
I20090115000259
Address ID
OK740068409BA4100XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MICHELLE SUZANNE GREENE (PT)

  • 4100 SE ADAMS RD

    SUITE A-100

    BARTLESVILLE, OK 740068437

    Phone: (918) 331-9922

    Fax: (918) 331-9971

    Mailing address matches the actual address.

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: 2009-01-15

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
I20090115000259IPhysical Therapist In Private PracticeOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74006)

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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: 1254325459View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

How do I look up MICHELLE SUZANNE GREENE (PT) by NPI?
Use NPI 1114149978 when you need to reference MICHELLE SUZANNE GREENE (PT) in forms, claims, or directories.
Does this profile mean MICHELLE SUZANNE GREENE (PT) is currently active?
Yes — MICHELLE SUZANNE GREENE (PT) appears active in the national provider directory.
What field does MICHELLE SUZANNE GREENE (PT) work in?
You can think of MICHELLE SUZANNE GREENE (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MICHELLE SUZANNE GREENE (PT)'s primary listing?
We display Bartlesville, Oklahoma because that is what the record indicates for MICHELLE SUZANNE GREENE (PT).
What if Bartlesville, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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