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

Tara Lea Green

Individual provider Physical Therapy Assistant · NPI 1366631699

Tara Lea Green is a Physical Therapy Assistant in Heathrow, Florida. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

1485 International Pkwy 2051
Heathrow, FL 32746-5303
Phone: (800) 798-6035
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7679A (AZ)

Record details

NPI number1366631699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 23, 2007
Last updated in NPPESOctober 23, 2007
Mailing address8 Miller St, Canton, NC 28716-3827

Other providers in Heathrow