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

Kelly Green, PT

Individual provider Physical Therapist · NPI 1104403195

Kelly Green, PT is a Physical Therapist in Private Practice in Goodyear, Arizona. Qualified in 2021, 5 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1626 N Litchfield Rd Ste 310
Goodyear, AZ 85395-1397
Phone: (623) 680-0036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 31672 (AZ)

Record details

NPI number1104403195
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 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 Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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