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

Eboni Da'Shaun Green, LPTA

Individual provider Physical Therapy Assistant · NPI 1184393209

Eboni Da'Shaun Green, LPTA is a Physical Therapy Assistant in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2021.

Licensed in
AL
In the registry since
2021

Practice location Address checks out

520 S Hull St
Montgomery, AL 36104-4610
Phone: (334) 834-2920
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 PTA10477 (AL)

Record details

NPI number1184393209
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedSeptember 11, 2021
Last updated in NPPESSeptember 11, 2021
Certification dateSeptember 11, 2021

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