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

Todd Green, PTA

Individual provider Physical Therapy Assistant · NPI 1225434566

Todd Green, PTA is a Physical Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

493 SW Mill Ln
Lake City, FL 32024-0432
Phone: (386) 365-0636
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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 PTA25380 (FL)

Record details

NPI number1225434566
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014
Mailing address493 Sw Mill Ln, Lake City, FL 32024-0432

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