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

Jennifer Nicole Green, LPTA

Individual provider Physical Therapy Assistant · NPI 1033054457

Jennifer Nicole Green, LPTA is a Physical Therapy Assistant in Locust Hill, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

74 Mizpah Rd
Locust Hill, VA 23092-9808
Phone: (804) 824-4748
Fax: (804) 824-4748
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 2306606099 (VA)

Record details

NPI number1033054457
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026