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

Trevis Jace Green

Individual provider Physical Therapist · NPI 1487433702

Trevis Jace Green is a Physical Therapist in Private Practice in Georgetown, Texas. Qualified in 2021, 5 years ago. Practices with Texas Physical Therapy Specialists, Inc, a 234-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2023
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Practice location Address checks out

204 S Interstate 35 Ste 203
Georgetown, TX 78628-4125
Phone: (512) 863-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1487433702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Texas Physical Therapy Specialists, Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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