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

Brody Mitchell Green, LPTA

Individual provider Physical Therapy Assistant · NPI 1154889129

Brody Mitchell Green, LPTA is a Physical Therapy Assistant in Woodstock, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019

Practice location Address checks out

4580 Towne Lake Pkwy
Woodstock, GA 30189
Phone: (678) 771-6459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004106 (GA)

Record details

NPI number1154889129
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedMarch 7, 2019
Last updated in NPPESMarch 7, 2019
Mailing address1824 Defoor Ave Nw Apt 2215, Atlanta, GA 30318-3029

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