Individual provider · Type 1 NPI

Patricia Len Green, PTA

Physical Therapy Assistant · Canton, NY

NPI number 1083796908 Active

Practice location

6 Commerce Ln
Canton, NY 13617-9672

Fax (315) 379-0834

Mailing address

340 Cousintown Rd
De Kalb Junction, NY 13630-4100

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0044671 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083796908

Patricia Len Green, PTA's National Provider Identifier is 1083796908, issued on Oct 19, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Canton, NY. The record was last updated on Jan 29, 2026.