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

Michelle Dawn Green

Individual provider Neurology Physical Therapist · NPI 1417719923

Michelle Dawn Green is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Qualified in 2014, 12 years ago. Practices with Inner Coastal Plain - PT, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2024

Practice location Address checks out

150 Francam Dr Ste 124
Fayetteville, NC 28311-4500
Phone: (910) 229-3924
Show map & directions

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

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 6776 (NC)

Record details

NPI number1417719923
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Inner Coastal Plain - Pt, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount