Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Green, DPT

Individual provider Physical Therapist · NPI 1336825884

Andrew Green, DPT is a Physical Therapist in Southlake, Texas. Works from 2 locations. Licensed in Pennsylvania and Texas.

Licensed in
PA, TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

245 W Hwy 114
Southlake, TX 76092
Phone: (817) 873-5311
Fax: (817) 601-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2284 Brodhead Rd, Aliquippa, PA 15001-4685 — (878) 201-3945

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TX)
Physical Therapist Taxonomy 225100000X · Licence PT031267 (PA)

Record details

NPI number1336825884
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 9, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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