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

Individual provider Physical Therapy Assistant · NPI 1760928055

Taryn Green, PTA is a Physical Therapy Assistant in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan and Wisconsin.

Licensed in
MI, WI
In the registry since
2017
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3950 Sumac Dr
Traverse City, MI 49684-7009
Phone: (231) 714-6516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502004992 (MI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2555 (WI)
Physical Therapy Assistant Taxonomy 225200000X

Record details

NPI number1760928055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 11, 2017
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address502 S High St, Randolph, WI 53956-1499

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