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

Dr. Randy A Green, DSCPT

Individual provider Physical Therapist · NPI 1003886011

Dr. Randy A Green, DSCPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2001, 25 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
25
Licensed in
TX
In the registry since
2006
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Practice location Address checks out

2990 N Campbell Ave Ste 220
Tucson, AZ 85719-2995
Phone: (520) 822-8640
Fax: (520) 822-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Bodin Cir, Travis Afb, CA 94535-1809 — (707) 423-7899

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1081230 (TX)

Record details

NPI number1003886011
Entity typeIndividual (Type 1)
GenderMale
Credentials DSCPT
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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