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

Tanicia Green

Individual provider Occupational Therapist · NPI 1861057754

Tanicia Green is an Occupational Therapist in Private Practice in Orlando, Florida. Qualified in 2019, 7 years ago. Practices with Sobe Innovative Rehabilitation PLLC, a 181-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106
Phone: (407) 857-6285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (FL)

Record details

NPI number1861057754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2019
Last updated in NPPESApril 12, 2025
Certification dateApril 12, 2025
Mailing address14055 Town Loop Blvd Ste 300, Orlando, FL 32837-6106

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sobe Innovative Rehabilitation Pllc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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