Individual provider · Type 1 NPI

Kevin O'Shea Green Sr., PTA, MLDT

Physical Therapy Assistant · Beaufort, SC

NPI number 1447210489 Active

Practice location

1076 Ribaut Rd
Beaufort, SC 29902-5490

Call (832) 521-1970 Map

Mailing address

133 Baynard Rd
Beaufort, SC 29906-6777

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X948 (SC)

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 1447210489

Kevin O'Shea Green Sr., PTA, MLDT's National Provider Identifier is 1447210489, issued on Mar 24, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Beaufort, SC. The record was last updated on Jul 13, 2026.