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

Avery Green, DPT

Individual provider Physical Therapist · NPI 1295614329

Avery Green, DPT is a Physical Therapist in Private Practice in Meridian, Idaho. Graduated from Creighton University School of Medicine in 2025, 1 year ago. Practices with Rock and Armor Physical Therapy and Sports Performance, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Trained at
Creighton University School of Medicine
Licensed in
ID
In the registry since
2025
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

1649 E Pine Ave
Meridian, ID 83642-8135
Phone: (208) 917-2660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4171676 (ID)

Record details

NPI number1295614329
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Rock And Armor Physical Therapy And Sports Performance, Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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