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

Katie Kristine Green

Individual provider Physical Therapist · NPI 1437729530

Katie Kristine Green is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2021, 5 years ago. Practices with Lifestyle Physical Therapy, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021

Practice location Address checks out

119 W 57th St Ste 600
New York, NY 10019-2305
Phone: (212) 974-7252
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047351 (NY)

Record details

NPI number1437729530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifestyle Physical Therapy, Llc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Lifestyle Physical Therapy, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in New York