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

Dr. Michael Matthew Green, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063665719

Dr. Michael Matthew Green, DO is a Physical Medicine & Rehabilitation Physician in Salt Lake City, Utah. Licensed in Missouri, Texas and Utah. Registered with an NPI since 2008.

Licensed in
MO, TX, UT
In the registry since
2008
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

81 N Mario Capecchi Dr Dept OF Pediatrics
Salt Lake City, UT 84113-1125
Phone: (801) 213-7737
Fax: (801) 587-7539
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Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 8728465-1204 (UT)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence BP10031712 (TX)
Pediatric Rehabilitation Medicine Physician Taxonomy 2081P0010X · Licence 2011017820 (MO)
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P0301X · Licence 8728465-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063665719
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

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