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

Owen Green, PT, DPT

Individual provider Physical Therapist · NPI 1700661949

Owen Green, PT, DPT is a Physical Therapist in Private Practice in Kenmore, New York. Graduated from State University of New York at Buffalo School of Medicine in 2023, 3 years ago. Practices with Susan E Bennett PT PC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2075 Sheridan Dr
Kenmore, NY 14223-1425
Phone: (716) 803-8220
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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 050744 (NY)

Record details

NPI number1700661949
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 27, 2023
Mailing address61 Forestview Ct, Williamsville, NY 14221-1445

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Susan E Bennett Pt Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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