MARY ELLEN GREEN (PT) – Physical Therapist, NPI 1043769276

MARY ELLEN GREEN (PT) is a healthcare provider. based in Glen ellyn, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 070.005875 (IL). The NPI Number for MARY ELLEN GREEN (PT) is 1043769276

Main info

Female
Name
MARY ELLEN GREEN (PT)
NPI
1043769276
Phone
(630) 942-1068
Address
646 RIFORD RD
Enumeration Date
29 September 2016
Last Update Date
29 September 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for MARY ELLEN GREEN (PT)

  • 646, Riford Road, Glen Ellyn, DuPage County, Illinois, 60137, United States

    GLEN ELLYN, IL 601373973

    Phone: (630) 942-1068

    Type: Mailing

  • 10255, Southwest Highway, Chicago Ridge, Worth Township, Cook County, Illinois, 60415, United States

    CHICAGO RIDGE, IL 604151350

    Phone: (708) 778-0115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 60137)

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Reviews

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Frequently asked questions

How do I look up MARY ELLEN GREEN (PT) by NPI?
Use NPI 1043769276 when you need to reference MARY ELLEN GREEN (PT) in forms, claims, or directories.
Is MARY ELLEN GREEN (PT) active in the national directory?
MARY ELLEN GREEN (PT)'s public NPI profile is in an active state.
What kind of provider is MARY ELLEN GREEN (PT)?
The page reflects Physical Therapist for MARY ELLEN GREEN (PT). Clinical services aligned with this taxonomy classification.
What location shows for MARY ELLEN GREEN (PT)?
We surface Glen Ellyn, Illinois for MARY ELLEN GREEN (PT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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